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Strep A Genetic Test, Direct Method

Connecticut rates for HCPCS 87650

A laboratory test that looks for the genetic material of group A streptococcus, the bacteria that cause strep throat, in a swab taken from the throat. It detects the material directly in the sample without a step that first copies it to increase the amount. A positive result confirms strep as the cause of a sore throat so the right antibiotic can be given.

Rates data updated July 2026.

How much does Strep A Genetic Test, Direct Method cost?

$21.88

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $33.11 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$18.20$14.79 to $31.62
FacilityA hospital or hospital-owned outpatient department$33.11$21.88 to $45.71

How much rates vary

Facilitymedian $33 · 10th to 90th $20 to $59Professionalmedian $18 · 10th to 90th $13 to $60
$10$20$50$100facility $33professional $18

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
$19.95
Median
$35.48
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$18.20
Typical High
$60.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$31.62
Typical High
$53.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$27.54
Typical High
$64.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$40.74
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$21.38
Typical High
$46.77
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$26.92
Typical High
$32.36
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$16.98
Typical High
$34.67

Where Connecticut sits

The same service costs 2.2 times more in Alaska 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.

Connecticut· 26th of 51

$21.88

AK $33.88DC $15.14

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.