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Molecular Strep Throat Test

Iowa rates for HCPCS 87651

This laboratory test detects the genetic material of group A streptococcus bacteria, the germ that causes strep throat, using a rapid DNA-based method. It gives a more sensitive result than a traditional rapid antigen test and is typically run on a throat swab.

Rates data updated July 2026.

How much does Molecular Strep Throat Test cost?

$74.13

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $93.33 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$57.54$37.15 to $91.20
FacilityA hospital or hospital-owned outpatient department$93.33$66.07 to $141

How much rates vary

Facilitymedian $93 · 10th to 90th $43 to $174Professionalmedian $58 · 10th to 90th $27 to $151
$5$10$20$50$100$200facility $93professional $58

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
$51.29
Median
$97.72
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$57.54
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$83.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$85.11
Typical High
$114.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$67.61
Typical High
$123.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$51.29
Typical High
$288.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$38.02
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$48.98
Typical High
$100.00
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48

Where Iowa sits

The same service costs 4.0 times more in West Virginia than in Vermont. 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.

Iowa· 8th of 51

$74.13

WV $105VT $26.30

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.