An STD test without insurance costs anywhere from $0 to about $500, and the difference comes down to where you go and which tests you order. Sliding-scale clinics can charge nothing. Walk-in lab panels you order yourself, checked October 2, 2026, run $149 at Quest for four infections and $489 at Labcorp OnDemand for seven. Start with the cheapest route that tests for everything you need.
The cost ladder, cheapest first
Check the free and sliding-scale routes before you pay a lab. Our guide to free STD testing walks through each one in detail; here is what each costs in plain numbers.
Title X family planning clinics: $0 to a discounted fee. The federal rule that funds these clinics says no charge will be made for services to clients from a low-income family, which the regulation defines as income at or below 100% of the federal poverty guidelines. Above that, clinics charge on a schedule of discounts based on ability to pay, and full-cost fees apply only above 250% of the poverty guidelines. Find one through the HHS Office of Population Affairs.
Health department STI clinics and testing sites: often free. CDC's GetTested locator lists clinics that provide confidential free or low-cost testing by ZIP code. Call and ask which tests are free at that site before you go.
Community health centers: sliding fee. HealthCare.gov says that at a community health center, how much you pay depends on your income. Our guide to community health centers explains how the sliding fee works, and the free and low-cost clinic directory lists centers by state.
Planned Parenthood: varies by location. Planned Parenthood says STD tests can be "quick, painless, and sometimes even free." It does not publish one national price, and we are not going to invent one. Call your local center, give your income, and ask for the total before you book.
What self-pay lab panels cost, October 2026
If privacy or speed matters more than price, you can order lab testing online yourself, then give samples at one of the lab's locations. These are the published prices on each lab's own consumer site, fetched October 2, 2026. Prices and sales change, so check the page the day you order.
Quest Diagnostics (questhealth.com)
- STD Screening Panel, Basic: $149. Chlamydia, gonorrhea, syphilis, HIV-1 and HIV-2. Blood plus urine or a self-collected vaginal swab.
- STD Screening Panel, Expanded: $282. Adds hepatitis B, hepatitis C and trichomoniasis to the basic panel.
- Single tests: syphilis with confirmation $52, trichomoniasis $79, HIV 1 and 2 with confirmation $85, Mycoplasma genitalium $85, hepatitis B panel $99, chlamydia and gonorrhea $105, herpes HSV-1 and HSV-2 $105.
Community health centers test on a sliding scale and many charge nothing; our directory of free and charitable clinics lists centers by state. At-home kits are self-pay and are not billed to Medicaid, so if you have Medicaid the clinic route will almost always cost less. If you would rather test at home:
Everlywell
At-home STI test panels covering chlamydia, gonorrhea, HIV, herpes, and syphilis, with a mail-in sample and physician-reviewed results online.
Browse at-home STI testsAffiliate link, we may earn a commission at no extra cost to you.
Quest adds a physician service fee starting at $6 to each order, and every test listed is for ages 18 and up.
Labcorp OnDemand
- Complete STI Test: $489. Chlamydia, gonorrhea, trichomoniasis, HIV, syphilis, hepatitis B and hepatitis C, from blood and urine.
- Herpes (HSV 1 and 2) antibody test: $149, sold separately.
- Male Mycoplasma genitalium test: $89.
Labcorp says its physician network will contact you about abnormal results, but that consult does not include treatment or prescriptions. Budget for a follow-up visit if something comes back positive. The same is true at Quest: a lab result is not a treatment plan.
If you have insurance or Medicaid
Under the ACA, all Marketplace plans and many other plans must cover a list of preventive services without a copayment or coinsurance, even before you meet your deductible. HealthCare.gov adds that this generally applies with an in-network provider and that $0 cost is not guaranteed in all cases. The STI screenings on that list follow the U.S. Preventive Services Task Force:
- HIV: everyone 15 to 65, and other ages at increased risk (USPSTF, 2019).
- Hepatitis C: all adults 18 to 79 (USPSTF, 2020).
- Hepatitis B: adolescents and adults at increased risk (USPSTF, 2020).
- Syphilis: people at increased risk (USPSTF, 2022).
- Chlamydia and gonorrhea: sexually active women 24 and younger, and women 25 and older at increased risk (USPSTF, 2021; see also HealthCare.gov for women).
One gap to know: the USPSTF found the evidence insufficient to recommend routine chlamydia and gonorrhea screening for men, so that test is not on the no-copay list for men as screening. If you are testing because of symptoms or a partner's diagnosis, ask the office before the swab whether the visit will be billed as preventive screening, since the no-copay rule covers the preventive list.
If you have Medicaid, say so when you call, and ask whether the clinic bills Medicaid for the tests before you consider paying a lab yourself.
Ask for these tests by name
There is no standard "full panel." A clinic's routine screen and a lab's "complete" panel can each leave out tests you need, and our explainer on STI testing for Black adults covers who should test for what. When you book, ask for:
- Chlamydia and gonorrhea, from urine or a genital swab, plus a throat swab if you have oral sex and a rectal swab if you have receptive anal sex. CDC's treatment guidelines say about 70% of gonorrhea and chlamydia infections in men who have sex with men might be missed by urine or genital testing alone, because most throat and rectal infections cause no symptoms. The guidelines also say self-collected throat and rectal swabs have been reported to be an acceptable way to collect.
- Syphilis (a blood test).
- HIV (a blood test).
- Hepatitis B and hepatitis C (blood tests).
- Trichomoniasis (in Quest's expanded panel and Labcorp's Complete STI Test, not in Quest's basic panel).
Herpes is the exception. CDC says HSV-2 blood screening for the general population is not recommended. If you have a sore, ask for a swab of the sore itself. And if any test comes back positive, the same guidelines say a chlamydia diagnosis should be followed by testing for HIV, gonorrhea and syphilis.
Before you pay, ask three questions
Which tests are included? What is the total, including any physician or lab fee? If a result is positive, what does treatment cost here? If you are paying cash, you can also request a good faith estimate in writing. Then compare that total against the free routes on our STD testing finder, which lists sites city by city.
Frequently asked questions
How much is an STD test without insurance? ▼
It ranges from $0 to about $500. Title X clinics charge nothing at or below the poverty line by federal rule. Self-order lab panels cost $149 to $282 at Quest and $489 at Labcorp OnDemand, checked October 2, 2026.
What is the cheapest way to get a full STD check? ▼
A Title X family planning clinic, health department clinic or community health center, where fees are free or set by income. Use CDC's GetTested locator to find one, and ask which specific tests are free at that site.
How much is a chlamydia and gonorrhea test? ▼
Quest sells a self-order chlamydia and gonorrhea test for $105, plus a physician fee starting at $6, checked October 2, 2026. At a sliding-scale clinic it can cost far less or nothing.
Does a full STD panel include herpes? ▼
Not at the two labs we checked. Quest's basic and expanded panels and Labcorp's Complete STI Test leave herpes out; each sells it separately. CDC does not recommend herpes blood screening for the general population, so a swab of an active sore is the useful test.
Is STD testing free with insurance? ▼
Often, for screening. HIV screening for ages 15 to 65 and hepatitis C screening for adults 18 to 79 are on the ACA preventive list, generally at no cost with an in-network provider. If you have symptoms, ask how the visit will be billed.
Do I need a doctor's order for a lab STD test? ▼
Not for Quest's consumer panels. Quest sells them to adults 18 and older and charges a physician service fee, starting at $6, for an independent provider network that orders the test. Labcorp OnDemand's physician consult does not include treatment, so you still need a clinician if a result is positive.