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Strep A Genetic Test, Direct Method

Kentucky 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?

$16.60

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $19.95 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$16.22$10.00 to $23.99
FacilityA hospital or hospital-owned outpatient department$19.95$16.60 to $38.90

How much rates vary

Facilitymedian $20 · 10th to 90th $17 to $48Professionalmedian $16 · 10th to 90th $10 to $32
$10$20$50$100facility $20professional $16

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
$16.22
Median
$16.60
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$18.20
Typical High
$47.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$19.95
Typical High
$20.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$27.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$28.18
Typical High
$38.02
CareSource
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$26.30
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$42.66
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$45.71
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$19.95
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$16.60
Typical High
$28.18

Where Kentucky 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.

Kentucky· 49th of 51

$16.60

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.