go back

Molecular Strep Throat Test

New Jersey 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?

$38.90

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $67.61 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$26.30 to $45.71
FacilityA hospital or hospital-owned outpatient department$67.61$40.74 to $178

How much rates vary

Facilitymedian $68 · 10th to 90th $32 to $347Professionalmedian $35 · 10th to 90th $23 to $79
$100.0$1.0K$10.0Kfacility $68professional $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
$32.36
Median
$67.61
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$35.48
Typical High
$79.43
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$162.18
Typical High
$645.65
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$61.66
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$77.62
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$45.71
Typical High
$85.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$39.81
Typical High
$66.07
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$9,549.93
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$35.48
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$24.55
Typical High
$51.29

Where New Jersey 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.

New Jersey $38.90 · 43rd 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.