go back

Strep A Genetic Test, Direct Method

New York 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 York, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $16.98 from a physician practice, and about $33.11 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 9 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$16.98$12.02 to $26.92
FacilityA hospital or hospital-owned outpatient department$33.11$19.95 to $46.77

How much rates vary

Facilitymedian $33 · 10th to 90th $16 to $55Professionalmedian $17 · 10th to 90th $10 to $45
$10$20$50$100$200facility $33professional $17

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
$16.98
Median
$35.48
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$16.98
Typical High
$36.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$52.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$52.48
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$19.95
Typical High
$19.95
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$19.95
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$51.29
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$28.18
Typical High
$102.33
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$22.91
Typical High
$53.70
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.60
Typical High
$35.48
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$6.61
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$19.05
Typical High
$33.11
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$36.31
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$23.99
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$16.98
Typical High
$58.88
Univera
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$10.00
Typical High
$48.98
Univera
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$19.95
Typical High
$63.10

Where New York 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 York· 37th 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.