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Molecular Strep Throat Test

Kentucky 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?

$42.66

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $85.11 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$30.90$25.70 to $48.98
FacilityA hospital or hospital-owned outpatient department$85.11$52.48 to $112

How much rates vary

Facilitymedian $85 · 10th to 90th $30 to $129Professionalmedian $31 · 10th to 90th $25 to $87
$10.0$20.0$50.0$100.0$200.0facility $85professional $31

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
$30.20
Median
$85.11
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$32.36
Typical High
$89.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$37.15
Typical High
$48.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$35.48
Typical High
$37.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.70
Typical High
$48.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$48.98
Typical High
$66.07
CareSource
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$45.71
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$75.86
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$77.62
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$35.48
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$47.86
Typical High
$51.29

Where Kentucky 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.

Kentucky $42.66 · 32nd 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.