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Strep A Genetic Test, Direct Method

Pennsylvania 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 Pennsylvania, 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 $47.86 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$16.98$15.85 to $23.44
FacilityA hospital or hospital-owned outpatient department$47.86$24.55 to $60.26

How much rates vary

Facilitymedian $48 · 10th to 90th $17 to $117Professionalmedian $17 · 10th to 90th $14 to $34
$10$20$50$100$200facility $48professional $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
$47.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$16.98
Typical High
$30.20
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$32.36
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$21.38
Typical High
$44.67
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$26.30
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$30.20
Typical High
$51.29
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$50.12
Typical High
$75.86
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$19.50
Typical High
$50.12
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$97.72
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$19.95
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.30
Typical High
$33.11

Where Pennsylvania 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.

Pennsylvania· 35th 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.