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Molecular Strep Throat Test

Vermont 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?

$26.30

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $126 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 5 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$26.30$23.99 to $41.69
FacilityA hospital or hospital-owned outpatient department$126$123 to $204

How much rates vary

Facilitymedian $126 · 10th to 90th $59 to $447Professionalmedian $26 · 10th to 90th $23 to $46
$20.0$50.0$100.0$200.0$500.0facility $126professional $26

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$26.30
Typical High
$45.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$204.17
Typical High
$467.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$51.29
Typical High
$87.10
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$38.90
Typical High
$95.50

Where Vermont 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.

Vermont $26.30 · 51st 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.