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Blood Test For Antibodies To A Strep-Related Enzyme

South Dakota rates for HCPCS 86215

This blood test measures antibodies against an enzyme produced by group A strep bacteria, helping confirm a recent or past strep infection. It's often used alongside other strep antibody testing when a doctor suspects a condition triggered by strep, such as rheumatic fever or a kidney inflammation that can follow a strep throat or skin infection. It is a simple blood draw.

Rates data updated July 2026.

How much does Blood Test For Antibodies To A Strep-Related Enzyme cost?

$19.95

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $25.70 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.14$11.48 to $31.62
FacilityA hospital or hospital-owned outpatient department$25.70$24.55 to $25.70

How much rates vary

Facilitymedian $26 · 10th to 90th $15 to $26Professionalmedian $15 · 10th to 90th $9 to $36
$10$20$50$100facility $26professional $15

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$11.48
Typical High
$12.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$25.70
Typical High
$31.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$20.42
Typical High
$57.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.33
Typical High
$18.62
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$31.62
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$12.02
Typical High
$18.62
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18

Where South Dakota sits

The same service costs 2.6 times more in Nebraska than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 8th of 51

$19.95

NE $26.30DC $10.00

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.