STD test cost without insurance
The median cash price for Chlamydia test is $92.30 across 1,516 US hospitals that publish a self-pay price. Most hospitals (the middle 80%) charge between $23.40 and $231.00.
STD tests are lab tests, and each infection is usually its own code: chlamydia and gonorrhea are often run on the same urine sample or swab but billed as two tests. The listed price covers the lab test only; the visit, the sample collection or blood draw, and any confirmation test after a positive result are billed separately.
Collected Sep 25, 2026 One price per hospital, from each hospital's own price file
STD test prices by type
Add up the codes you need: a common screening set is chlamydia (87491, used in the state table), gonorrhea (87591), HIV (87389) and syphilis (86592), while hepatitis C (86803) and high-risk HPV (87624) are separate tests. Each row is one test, not a panel.
| Procedure | Hospitals | Most charge | Median | Medicare |
|---|---|---|---|---|
| Chlamydia test Chlamydia test by nucleic acid amplification (NAAT, PCR-type) · code 87491 | 1,516 | $23.40–$231.00 | $92.30 | $35.09median 2.6× |
| Gonorrhea test Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) · code 87591 | 1,507 | $23.40–$217.56 | $86.40 | $35.09median 2.5× |
| HIV test (4th generation) HIV-1/2 antigen and antibody combination blood test (4th generation) · code 87389 | 1,440 | $24.00–$185.40 | $78.84 | $24.08median 3.3× |
| Syphilis test (RPR) Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result · code 86592 | 1,510 | $6.24–$80.64 | $25.91 | $4.27median 6.1× |
| Hepatitis C antibody test Hepatitis C antibody blood test (screening) · code 86803 | 1,523 | $16.41–$174.26 | $67.60 | $14.27median 4.7× |
| HPV test HPV test for high-risk types, one combined (pooled) result · code 87624 | 1,258 | $30.75–$247.20 | $109.80 | $35.09median 3.1× |
| HIV antibody test HIV-1 and HIV-2 antibody test · code 86703 | 1,188 | $13.00–$150.62 | $58.33 | $13.71median 4.3× |
| Hepatitis B test Hepatitis B surface antigen (HBsAg) test · code 87340 | 1,515 | $11.88–$149.48 | $52.64 | $10.33median 5.1× |
| Hepatitis C RNA test Hepatitis C viral load (HCV RNA) test · code 87522 | 1,475 | $43.62–$505.67 | $177.19 | $42.84median 4.1× |
| Trichomoniasis test Trichomonas test (NAAT) · code 87661 | 1,398 | $30.71–$217.10 | $87.45 | $35.09median 2.5× |
| Herpes (HSV-2) blood test Herpes blood test, HSV-2 antibody · code 86696 | 1,459 | $15.75–$139.48 | $59.80 | $19.35median 3.1× |
| Herpes (HSV-1) blood test Herpes blood test, HSV-1 antibody · code 86695 | 1,459 | $13.00–$126.52 | $50.49 | $13.19median 3.8× |
| HIV viral load test HIV viral load test (HIV-1 RNA, quantitative) · code 87536 | 1,457 | $70.00–$677.10 | $272.16 | $85.10median 3.2× |
| Hepatitis panel Acute hepatitis panel (hepatitis A, B and C) · code 80074 | 1,472 | $61.18–$569.37 | $238.38 | $47.63median 5.0× |
“Most charge” is the middle 80% of hospitals (10th to 90th percentile), so one mistyped line in a hospital file cannot stretch it. Each hospital counts once, at its lowest outpatient cash price for the code. “Medicare” is Medicare's 2026 national base rate for the same service outside a hospital stay, including the patient's share (the hospital outpatient, lab or hospital clinic rate); “median 3×” means the median cash price is three times that rate.
Chlamydia test: median by state
States with at least two hospitals, cheapest median first. Pick a state for its STD test prices and cheapest hospitals.
- Idaho$18.49
- Louisiana$24.64
- Florida$27.50
- Arizona$36.96
- West Virginia$37.00
- New Jersey$40.35
- Mississippi$44.52
- Texas$44.57
- Tennessee$54.45
- California$54.60
- Nevada$56.29
- Hawaii$63.00
- Maine$66.83
- Wyoming$75.05
- Colorado$75.06
- Arkansas$76.70
- Georgia$80.00
- Oklahoma$83.20
- Montana$84.80
- Missouri$87.75
- Minnesota$87.90
- North Carolina$90.00
- North Dakota$90.28
- Ohio$91.80
- Oregon$93.75
- Alaska$93.83
- Nebraska$94.50
- Utah$94.71
- Iowa$97.44
- Connecticut$99.55
- Virginia$99.94
- New York$102.50
- Indiana$107.40
- Michigan$114.24
- South Dakota$114.40
- Vermont$121.38
- Alabama$127.13
- Maryland$132.18
- Illinois$133.00
- Kansas$143.00
- Wisconsin$143.02
- Washington$143.10
- New Hampshire$144.24
- Massachusetts$150.00
- South Carolina$167.38
- Pennsylvania$195.60
- Rhode Island$202.00
- Kentucky$225.94
- Delaware$250.80
Paying cash: what to do
- Check your local health department or a Title X family planning clinic, which offer free or sliding-fee STD testing in many areas.
- Ask whether chlamydia and gonorrhea will be billed as two tests or as one combined price, and whether the visit fee is included.
- Ask what the follow-up test costs if a screen is positive, since HIV, syphilis and hepatitis C screening results are confirmed with a second test.
Questions
How much does STD testing cost without insurance?
It depends on how many infections you are tested for, since each test has its own code and price, plus a visit and a sample collection fee. Adding up the median prices of the codes you need in the table gives a rough lab total.
Where can I get tested for STDs for free?
Local health departments, many community health centers and Title X family planning clinics offer free or low-cost testing. The CDC's GetTested locator (gettested.cdc.gov) lists testing sites by ZIP code.
Does one test check for all STDs?
No. Each infection needs its own test, and some, such as herpes, are not part of routine screening. A clinician can suggest which tests fit your situation.