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Strep A Genetic Test, Direct Method

Vermont 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?

$23.99

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $155 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$23.99$21.88 to $33.88
FacilityA hospital or hospital-owned outpatient department$155$33.88 to $339

How much rates vary

Facilitymedian $155 · 10th to 90th $20 to $355Professionalmedian $24 · 10th to 90th $19 to $35
$20$50$100$200facility $155professional $24

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$23.99
Typical High
$34.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$29.51
Typical High
$50.12
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$28.18
Typical High
$54.95

Where Vermont 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.

Vermont· 13th of 51

$23.99

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.