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Strep A Genetic Test, Direct Method

West Virginia 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?

$16.60

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $25.12 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 4 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$16.60$15.14 to $19.05
FacilityA hospital or hospital-owned outpatient department$25.12$16.60 to $30.20

How much rates vary

Facilitymedian $25 · 10th to 90th $17 to $39Professionalmedian $17 · 10th to 90th $13 to $24
$10$20$50$100facility $25professional $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
$16.60
Median
$25.12
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$16.60
Typical High
$23.99
CareSource
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
CareSource
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$42.66
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$134.90
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$22.91
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.02
Typical High
$28.18

Where West Virginia 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.

West Virginia· 47th of 51

$16.60

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.