go back

Strep A Genetic Test, Direct Method

Iowa 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?

$22.91

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $19.50 from a physician practice, and about $38.02 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 7 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$19.50$15.49 to $41.69
FacilityA hospital or hospital-owned outpatient department$38.02$19.95 to $52.48

How much rates vary

Facilitymedian $38 · 10th to 90th $15 to $58Professionalmedian $19 · 10th to 90th $13 to $132
$20$50$100facility $38professional $19

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
$15.49
Median
$47.86
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$17.38
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$47.86
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$48.98
Typical High
$100.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$30.20
Typical High
$63.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$26.30
Typical High
$165.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$21.88
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.13
Typical High
$56.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95

Where Iowa 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.

Iowa· 22nd of 51

$22.91

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.