Free & confidential STD testing in the United States
STD testing in the United States has never been easier or more private. Order an at-home kit, walk into a private lab for results in 1–3 days, or find free and low-cost testing at a public clinic. The CDC recommends everyone aged 13–64 test for HIV at least once, and sexually active people screen regularly for chlamydia, gonorrhea and syphilis — the three most common reportable STIs, with 1,648,568 reported chlamydia cases alone in 2023. Pick your state below for local clinics, prices and rates, or compare your testing options now.
Order a private full panel online (results in 1–3 days), pick a discreet at-home kit, or find a free public clinic. Pan the map and tap "Search this area" to see options near you — or choose your state below.
Listings tagged Community health center are federally funded health centers and rural clinics that treat everyone regardless of insurance or ability to pay — required to bill on a sliding fee scale and provide confidential care, and in many states minors may consent to their own STI testing. A Title X tag flags centers funded for confidential family-planning services; confirm current participation when you call.
if you'd rather skip the
trip, an at-home kit ships to the U.S., you collect the sample privately, and mail it back to a CLIA-certified
lab. Results come online in days, with a clinician available if anything is positive. Same labs as a clinic,
no waiting room — and you can read how accurate at-home STD tests are before you order.
Want a free option first? The CDC-supported
TakeMeHome
program mails free at-home HIV self-test kits — and, in many areas, free STI kits — to your door, with no insurance or payment needed. The paid kits below add broader panels and faster turnaround.
Best range — couples & full panels
myLAB Box
$79 & up
Screens for:
Up to 14 infections — incl. HIV, syphilis, chlamydia, gonorrhea, hepatitis & herpes
Every kit uses CLIA-certified labs. At-home testing is for screening; a reactive result should be confirmed and
treated by a clinician. Prices and panels shown are illustrative and change often — confirm current details on
the provider's site.
U.S. data
STDs & HIV in the United States
Chlamydia, gonorrhea and syphilis are the most commonly reported STIs, and all are rising. Here are the latest national rates, the trend since 2020, and the HIV picture — the numbers behind why routine testing matters.
Chlamydia (2023)
492.2 /100k
1,648,568 reported cases
Gonorrhea (2023)
179.5 /100k
601,319 reported cases
Syphilis (P&S) (2023)
15.8 /100k
53,007 reported cases
Reported STD rates in the U.S. over time (per 100,000)
Chlamydia ▼ 1% vs 2022
Chlamydia
Gonorrhea
Syphilis (P&S)
Between 2020 and 2023 in the U.S., chlamydia has risen from 476.7 to 492.2 per 100,000 (3%), gonorrhea has fallen from 204.5 to 179.5 per 100,000 (12%), and P&S syphilis has risen from 12.6 to 15.8 per 100,000 (25%).
The 2020 dip reflects reduced pandemic-era screening, not lower transmission. Source: CDC NCHHSTP AtlasPlus.
National HIV snapshot
HIV in the United States (2023)
New diagnoses
13.7 /100k
People living with HIV
1,116,600
Know their status
87.2%
Virally suppressed
67.2%
Source: CDC NCHHSTP AtlasPlus. The CDC recommends everyone aged 13–64 test for HIV at least once.
Congenital syphilis
The fastest-rising STI crisis
Congenital syphilis — passed from parent to baby in pregnancy — climbed from 2,163 cases in 2020 to 3,882 in 2023. It is almost entirely preventable with a syphilis test at the first prenatal visit.
Source: CDC NCHHSTP AtlasPlus, 2023.
Browse by state
STD testing by state
Every U.S. state and DC — choose your state for local clinics and labs, real prices, and county-level STD data. The U.S. average chlamydia rate is 492.2 per 100,000.
Two quick references before you test: the CDC's screening schedule (who should test, and how often) and the detection "window" for each infection — the earliest a test can reliably detect it. Select any infection to open its in-depth testing guide.
Who should get tested, and how often
Based on current CDC screening recommendations.
Group
Tests
How often
Everyone aged 13–64
HIV
At least once
Sexually active women under 25
Chlamydia, gonorrhea
Every year
Women 25+ with new or multiple partners
Chlamydia, gonorrhea
Every year
Pregnant people
HIV, syphilis, hepatitis B & C, chlamydia
Early in pregnancy
Gay & bisexual men (MSM)
Chlamydia, gonorrhea, syphilis, HIV
Every 3–6 months
Anyone who shares injection equipment
HIV, hepatitis B & C
At least yearly
All adults at least once
Hepatitis C
At least once
When to test: STD detection windows
Testing too early can return a false negative — confirm timing with a provider.
These are the federal Medicare reference prices for processing each lab test. Public clinics and the
community health centers serving the U.S. often test free or on a sliding scale; private labs and at-home kits
bundle several tests into one fee. Use this as a per-test benchmark before you pay out of pocket, or see the full
guide to STD test costs for insurance, free, and at-home options.
Test
Reference price
CPT / HCPCS
Chlamydia (NAAT)
$47.80
87491
Gonorrhea (NAAT)
$47.80
87591
Trichomoniasis (NAAT)
$47.76
87661
HIV-1/2 antigen/antibody
$79.20
87389
HIV-1/2 antibody
$22.44
86703
Syphilis (RPR/VDRL)
$5.61
86592
Syphilis (treponemal antibody)
$17.49
86780
Herpes (HSV NAAT)
$47.76
87529
Hepatitis B surface antigen
$15.33
87340
Hepatitis C antibody
$29.16
86803
Source: Medicare Clinical Laboratory Fee Schedule, CMS — 2025 rates (data.cms.gov). Reference rate for the lab assay only — a clinic visit, sample collection, or a
bundled multi-test panel may cost more. Medicaid and most insurers cover STD screening at no out-of-pocket cost.
Prevention & treatment
PrEP, prevention & online treatment
Testing is one step. For residents of the U.S., telehealth covers the rest of the picture — HIV-prevention
medication (PrEP) and DoxyPEP to lower future risk, and discreet online treatment if a result comes back
positive. All prescribed by licensed U.S. clinicians.
Prevent (PrEP & DoxyPEP)
Daily or on-demand medication that prevents HIV — and DoxyPEP, which lowers the risk of syphilis, chlamydia and gonorrhea.
Mistr
Free online PrEP & DoxyPEP — HIV prevention, home lab kits, no in-person visit
Pricing varies by insurance and changes often — confirm on the provider's site. These services are not a
substitute for emergency care.
Good to Know
STD testing FAQs
The questions people ask most before getting tested, answered.
Where can I get tested for STDs?
Three main routes: order an at-home kit online and mail in a self-collected sample; walk into a private lab (Quest, Labcorp and partners) for results in 1–3 days with no appointment; or visit a public health department or community clinic for free or sliding-scale testing. Pick your state above to see options near you.
How much does STD testing cost in the U.S.?
Self-pay private testing runs about $24–$200 depending on the panel; at-home kits are roughly $45–$300. Public health clinics and Title X centers test for free or on a sliding scale, and most ACA insurance plans cover recommended screening with no out-of-pocket cost.
Can I get tested for free?
Yes. Health departments, Title X family-planning clinics and federally funded community health centers offer free or low-cost confidential testing nationwide, regardless of insurance or ability to pay. Choose your state to find them.
Are at-home STD tests accurate?
At-home kits use the same CLIA-certified lab methods (NAAT) as in-clinic tests, so they're highly accurate when you follow the collection instructions. If a result is positive, the service connects you with a clinician for treatment.
Which STDs should I test for?
A standard panel covers chlamydia, gonorrhea, syphilis and HIV; comprehensive panels add hepatitis B & C, herpes, and trichomoniasis. What you need depends on your exposures — use the symptom checker or compare-options tool to narrow it down.
Most STDs are silent — chlamydia, gonorrhea and even HIV often cause no symptoms, so testing is the only way to know your status.
Reported STIs are at record highs and congenital syphilis is climbing fast — yet the common ones are curable, and HIV is manageable when caught early.
Testing is fast, private and often free: order online for results in 1–3 days, use an at-home kit, or visit a free public clinic.
Knowing your status protects you and your partners — regular testing is the single highest-leverage thing you can do to stop the spread.
Editorial standards
Reviewed by EasySTD Editorial Team · Updated
How we rank, source & review
Full transparency on how this the U.S. testing guide is built and kept accurate.
How we rank clinics
Vetted partner labs (clearly marked Sponsored) are pinned first; every other center is listed free of charge and ordered by proximity, then verified review score. We never hide or down-rank a free public clinic.
How we source data
Clinic details come from official provider directories; STI rates, demographics, and community-health figures from the CDC, U.S. Census Bureau, and County Health Rankings — each cited in Sources.
Affiliate disclosure
EasySTD may earn a commission when you book through a partner lab. That never changes which free or public options we show, or the order we show them in.