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Group A Strep Antigen Test, Laboratory Immunoassay

New Mexico rates for HCPCS 87430

Checks a throat swab for proteins from group A streptococcus, the bacterium behind strep throat, using an instrument-read laboratory immunoassay. It is the laboratory version of the test rather than the strip read by eye during an office visit. Results generally come back the same day, so a decision about antibiotics need not wait for a culture to grow.

Rates data updated July 2026.

How much does Group A Strep Antigen Test, Laboratory Immunoassay cost?

$19.95

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $16.98 from a physician practice, and about $70.79 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 5 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$16.98$12.59 to $70.79
FacilityA hospital or hospital-owned outpatient department$70.79$25.12 to $112

How much rates vary

Facilitymedian $71 · 10th to 90th $15 to $170Professionalmedian $17 · 10th to 90th $11 to $83
$10$100$1K$10K$100Kfacility $71professional $17

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
$25.12
Median
$53.70
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$19.95
Typical High
$89.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$107.15
Typical High
$181.97
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.80
Typical High
$15.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$18.62
Typical High
$26.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$16.60
Typical High
$20.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$18.62
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$15.14
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$12.59

Where New Mexico sits

The same service costs 4.5 times more in Wyoming than in Connecticut. 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.

New Mexico· 15th of 51

$19.95

WY $48.98CT $10.96

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.