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Chlamydia Molecular Test

North Carolina rates for HCPCS 87491

This laboratory test detects the genetic material of the bacteria that causes chlamydia, a common sexually transmitted infection, using a highly sensitive DNA-based method. It can be performed on a urine sample or a swab, depending on how it is collected.

Rates data updated July 2026.

How much does Chlamydia Molecular Test cost?

$85.11

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $110 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 8 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$42.66$28.18 to $52.48
FacilityA hospital or hospital-owned outpatient department$110$74.13 to $145

How much rates vary

Facilitymedian $110 · 10th to 90th $32 to $182Professionalmedian $43 · 10th to 90th $26 to $100
$20$50$100$200$500$1K$2Kfacility $110professional $43

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
$33.11
Median
$109.65
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$42.66
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$35.48
Typical High
$67.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$79.43
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$35.48
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$75.86
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$25.70
Typical High
$58.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$46.77
Typical High
$87.10
Medcost
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$31.62
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$45.71
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$60.26
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$309.03
Typical High
$309.03

Where North Carolina sits

The same service costs 3.2 times more in West Virginia than in Vermont. 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.

North Carolina· 6th of 51

$85.11

WV $102VT $31.62

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.