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Strep A Genetic Test, Direct Method

Massachusetts 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?

$20.89

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $45.71 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$19.95$19.95 to $24.55
FacilityA hospital or hospital-owned outpatient department$45.71$27.54 to $58.88

How much rates vary

Facilitymedian $46 · 10th to 90th $20 to $79Professionalmedian $20 · 10th to 90th $17 to $56
$20$50$100$200$500$1K$2Kfacility $46professional $20

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
$19.05
Median
$45.71
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$21.88
Typical High
$60.26
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$28.18
Typical High
$69.18
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$23.44
Typical High
$173.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$79.43
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$32.36
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$23.99
Typical High
$52.48
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$28.84
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$26.30
Typical High
$39.81
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$38.90
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$28.18
Typical High
$69.18
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$23.44
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$19.95
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$19.95
Typical High
$45.71

Where Massachusetts 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.

Massachusetts· 30th of 51

$20.89

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.