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Molecular Strep Throat Test

Illinois 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?

$54.95

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $72.44 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$35.48$28.84 to $52.48
FacilityA hospital or hospital-owned outpatient department$72.44$54.95 to $100

How much rates vary

Facilitymedian $72 · 10th to 90th $40 to $148Professionalmedian $35 · 10th to 90th $17 to $79
$5.0$10.0$20.0$50.0$100.0$200.0$500.0facility $72professional $35

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
$39.81
Median
$70.79
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$40.74
Typical High
$79.43
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$31.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$95.50
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$26.92
Typical High
$35.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$81.28
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$47.86
Typical High
$72.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$69.18
Typical High
$158.49
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$38.90
Typical High
$95.50

Where Illinois sits

The same service costs 4.0 times more in West Virginia than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $54.95 · 18th of 51
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.