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Strep A Genetic Test, Direct Method

New Jersey 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?

$23.44

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $17.78 from a physician practice, and about $44.67 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$17.78$15.49 to $23.99
FacilityA hospital or hospital-owned outpatient department$44.67$30.20 to $120

How much rates vary

Facilitymedian $45 · 10th to 90th $23 to $275Professionalmedian $18 · 10th to 90th $13 to $32
$10$100$1K$10Kfacility $45professional $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
$25.70
Median
$45.71
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$17.78
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$43.65
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$20.42
Typical High
$48.98
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$22.91
Typical High
$32.36
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$9,772.37
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$19.95
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$19.95
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.02
Typical High
$28.84

Where New Jersey 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 Jersey· 20th of 51

$23.44

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.