--- title: Chlamydia & Gonorrhea (RNA, Urine) Test type: test id: chlamydia-gonorrhea url: "https://www.test-well.com/tests/chlamydia-gonorrhea" price_usd: 52.99 lab_fee_usd: 6 all_in_usd: 58.99 cpt: 87491, 87591 category: STI & Infectious Disease sample: Urine sample fasting_required: false results_in: "1–4 business days" labs: - Labcorp - BioReference orderable: true reviewed_at: 2026-09-14 order_url: "https://www.test-well.com/cart?add=chlamydia-gonorrhea&utm_source=ai_agent&utm_medium=markdown" --- # Chlamydia & Gonorrhea (RNA, Urine) Test > Chlamydia & Gonorrhea (RNA, Urine) measures Chlamydia trachomatis RNA and Neisseria gonorrhoeae RNA from a urine sample. At TestWell it costs $52.99 plus a $6 lab fee, needs no fasting, and results post in 1–4 business days. Physician-authorized with no doctor's visit or insurance needed; draw at Labcorp. ## Key facts | Fact | Value | | --- | --- | | Price | $52.99 + $6 lab processing fee per order ($58.99 all-in for this test alone) | | CPT code | 87491, 87591 | | Sample | Urine sample | | Fasting | Not required | | Results | 1–4 business days | | Labs | Labcorp, BioReference (NY & NJ) | | Biomarkers measured | 2 | | Physician authorization | Included — no doctor's visit, referral or insurance needed | | Payment | Card, HSA or FSA; cash-pay only (no insurance billing) | ## What does the Chlamydia & Gonorrhea (RNA, Urine) test tell you? Highly sensitive urine-based test for the two most common bacterial STIs. This test uses Transcription-Mediated Amplification (TMA) to detect Chlamydia trachomatis and Neisseria gonorrhoeae RNA in a urine sample. TMA is one of the most sensitive methods available, capable of detecting very small amounts of bacterial genetic material. Both infections are often asymptomatic, especially in women, making screening important. Untreated, they can lead to pelvic inflammatory disease, infertility, and other complications. **Clinical use:** Combined NAAT (nucleic acid amplification test) for the two most common bacterial STIs in the US. Recommended annually for sexually active women under 25 and anyone with new or multiple partners. ## Who should order it? Sexually active women under 25 annually per USPSTF, anyone with new partner(s), partners of someone diagnosed, anyone with discharge / dysuria / pelvic pain, MSM testing every 3-6 months at all sites of exposure. ## Biomarkers measured - Chlamydia trachomatis RNA - Neisseria gonorrhoeae RNA ## Price by lab | Lab | Test price | All-in (with $6 fee) | Notes | | --- | --- | --- | --- | | Labcorp | $52.99 | $58.99 | Choose at checkout; walk-in patient service centers nationwide (not NY/NJ) | | BioReference (NY & NJ) | $58.99 | $64.99 | New York and New Jersey orders route here automatically | Rhode Island is not served. Prices are identical online and in the lab; no draw fee or physician fee is added. ## How much does a Chlamydia & Gonorrhea (RNA, Urine) test cost? A Chlamydia & Gonorrhea (RNA, Urine) test costs $52.99 at TestWell — $58.99 all-in when ordered alone, because the $6 lab processing fee is charged once per order, with no draw fee or physician fee added. Ordered directly from the labs' own consumer sites, the same test lists at $105.00 at Quest Health (list prices checked Sep 12, 2026). Hospital outpatient labs typically bill around $200.00 self-pay for the same test, and often more. With insurance, what you pay depends on your deductible and your plan's negotiated rate; TestWell's price is fixed before the draw and is HSA/FSA-eligible. | Where you order | Price | One test, all-in | Notes | | --- | --- | --- | --- | | TestWell (drawn at Quest or Labcorp) | $52.99 | $58.99 | Includes the one $6 lab processing fee, charged once per order | | Quest Health (Quest Diagnostics' own site) | $105.00 | $105.00 | [list price checked 2026-09-12](https://www.questhealth.com/product/chlamydia-gonorrhea-test/11363M.html) | | Hospital outpatient lab, self-pay (typical) | $200.00 | $200.00 | Reference figure; hospital charges vary widely by facility and are often higher | Lab test codes: Quest test code 11363 · Labcorp test no. 183194 · BioReference code L344-1. ## How do you prepare? Do not urinate for at least 1 hour before providing the urine sample. First-catch urine preferred. ## Related conditions - Chlamydia infection (A56.9) - Gonorrhea (A54.9) - Pelvic inflammatory disease (N73.9) - Cervicitis (N72) ## Common questions about the Chlamydia & Gonorrhea (RNA, Urine) test ### How is the test performed? Urine sample (first-catch, hold urination for 1-2 hours before) or a vaginal/cervical swab. Most TestWell orders use urine — convenient and just as accurate for genital infections. Throat or rectal sampling requires a swab and is indicated for MSM or specific exposures. ### How soon after exposure should I test? Wait 1-2 weeks after exposure for accurate results. NAAT testing earlier than this can produce false negatives. If exposed recently and symptomatic, see urgent care immediately rather than waiting. ### How accurate is the test? NAAT is the gold standard with >95% sensitivity and >99% specificity for both chlamydia and gonorrhea. False negatives are usually from testing too soon after exposure or not collecting the right sample type (e.g., urine when the infection is in the throat or rectum). ### How much does the Chlamydia & Gonorrhea test cost without insurance? On TestWell, the combined NAAT is $52.99. Quest Direct lists the same test at $70, walk-in hospital labs typically bill $150-200 without insurance. Many states offer free STI testing through public health departments — worth checking. ### What are the CPT codes? Chlamydia NAAT: CPT 87491. Gonorrhea NAAT: CPT 87591. When ordered together, both codes appear on the requisition. ### Do I need to fast or prepare? No fasting required. For urine sampling, hold urination for at least 1-2 hours before the draw and collect the first 20-30 mL of urine (not midstream — opposite of a urinalysis). ### Should I get this with a full STI panel? Yes for any new-partner screening. The [STI Comprehensive Panel](https://www.test-well.com/tests/sti-comprehensive-panel) bundles Chlamydia/Gonorrhea with [HIV](https://www.test-well.com/tests/hiv-test), [syphilis](https://www.test-well.com/tests/syphilis-test), [hepatitis B](https://www.test-well.com/tests/hepatitis-b-test), and [hepatitis C](https://www.test-well.com/tests/hepatitis-c-test) at a discount. ## How to order 1. Add to cart: https://www.test-well.com/cart?add=chlamydia-gonorrhea&utm_source=ai_agent&utm_medium=markdown 2. Create an account or sign in, confirm your state and preferred lab, pay by card, HSA or FSA. 3. A licensed physician authorizes the order (usually within minutes); the requisition arrives by email. 4. Walk into any Labcorp, BioReference (NY & NJ) patient service center — no appointment needed at most sites. 5. Results post to your TestWell portal in 1–4 business days with reference ranges and flags. ## Related - [Immigration Medical Exam: Which Lab Tests to Expect (and What You Can Check First)](https://www.test-well.com/guides/immigration-medical-exam-tests) - [STI Basic Panel](https://www.test-well.com/tests/sti-basic-panel) — 2 tests · $84.99 - [Immigration Exam Prep Panel](https://www.test-well.com/tests/immigration-exam-prep-panel) — 3 tests · $159.99 - [STI Comprehensive Panel](https://www.test-well.com/tests/sti-comprehensive-panel) — 7 tests · $249.99 - [CMV IgG + IgM Antibodies (Cytomegalovirus)](https://www.test-well.com/tests/cmv-igg-igm-antibodies) — $74.99 - [CMV IgG Antibody (Cytomegalovirus)](https://www.test-well.com/tests/cmv-igg-antibody) — $40.99 - [CMV IgM Antibody (Cytomegalovirus)](https://www.test-well.com/tests/cmv-igm-antibody) — $40.99 - [Hepatitis B Test with Confirmation](https://www.test-well.com/tests/hepatitis-b-test) — $59.99 - [Hepatitis C Test with Confirmation](https://www.test-well.com/tests/hepatitis-c-test) — $30.99 - [All STI & Infectious Disease tests](https://www.test-well.com/tests/category/sti-infectious-disease) - [Full test directory](https://www.test-well.com/tests/directory) --- Medically reviewed by Youmna DiStefano, MD (Medical Reviewer, TestWell); last reviewed 2026-09-14. Review policy: https://www.test-well.com/reviewers/youmna-distefano-md Canonical page: https://www.test-well.com/tests/chlamydia-gonorrhea Machine-readable catalog: https://www.test-well.com/api/catalog.json · MCP server: https://www.test-well.com/mcp · Overview for agents: https://www.test-well.com/llms.txt Prices are cash-pay, in USD, and include physician authorization; every order adds one flat $6 lab processing fee. Educational content is not a diagnosis — discuss results with a clinician.