go back

Strep A Genetic Test, Direct Method

New Hampshire 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?

$19.95

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $64.57 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$19.95$15.85 to $23.44
FacilityA hospital or hospital-owned outpatient department$64.57$38.02 to $81.28

How much rates vary

Facilitymedian $65 · 10th to 90th $32 to $115Professionalmedian $20 · 10th to 90th $13 to $46
$10$20$50$100facility $65professional $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
$28.18
Median
$72.44
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$19.05
Typical High
$89.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$38.90
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.88
Typical High
$19.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$75.86
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$20.89
Typical High
$57.54
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$19.95
Typical High
$58.88

Where New Hampshire 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.

New Hampshire· 34th of 51

$19.95

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.