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Strep A Genetic Test, Direct Method

South Dakota 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?

$30.20

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $38.90 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 6 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$26.30$19.05 to $46.77
FacilityA hospital or hospital-owned outpatient department$38.90$37.15 to $38.90

How much rates vary

Facilitymedian $39 · 10th to 90th $23 to $39Professionalmedian $26 · 10th to 90th $13 to $55
$10$20$50facility $39professional $26

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
$14.13
Median
$22.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$19.05
Typical High
$26.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$38.90
Typical High
$47.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$31.62
Typical High
$58.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.13
Typical High
$165.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$47.86
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$14.13
Typical High
$34.67
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95

Where South Dakota 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.

South Dakota· 5th of 51

$30.20

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.