Confidential, low-cost, and free STD testing across Texas — compare clinics, labs, costs, and at-home options, and see how Texas's reported STI rates stack up against the South and the nation.
1,350 public & community clinics serve Texas. Below are 14 testing centers from Texas's largest cities — open any city for its full local list.
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.
Beyond the public testing sites above, these federally certified (CLIA) labs operate across Texas — each lab's town is shown on its card below. Many
test through a doctor's order or by appointment rather than walk-in, so call ahead to
confirm STD/STI testing and availability before visiting.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records, filtered to active labs
certified for moderate-to-high-complexity testing — the level chlamydia/gonorrhea NAAT and syphilis serology
require — across Texas. Any star rating is the CMS Hospital Compare overall rating where the lab is a rated
hospital. Inclusion is not an endorsement and doesn't confirm a facility offers STD testing — always call to verify.
Test from home
At-home STD testing in Texas
if you'd rather skip the
trip, an at-home kit ships to Texas, 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.
About Texas
Getting tested in Texas
Texas offers testing for eight common STDs at a wide range of locations. You can choose from 523 featured labs, 1,350 public clinics, and 2,128 pharmacies, as well as free public clinics, sliding‑scale community health centers, at‑home kits, and labs that fit every budget. With 254 counties and 4,048 cities, help is close to home. Scroll down to find a clinic, city page, or testing options below.
Free & low-cost testing in all 254 counties · at-home kits ship statewide
Largest metros
Where most Texas testing demand concentrates — each has its own local guide.
State-level Census (ACS) figures that shape testing demand and access. Median age and income are population-weighted estimates.
Residents
30,503,301
Median age
35
Median income
$77,943
Below poverty
14.7%
College-educated
34%
Statewide data
STDs & HIV in Texas: the statewide picture
How reported STI rates across Texas compare with the South region and the United States, using the most recent CDC surveillance data. Data for all 254 counties feeds the county and city pages linked below. About 17.7% of Texas adults are uninsured — a key reason the free and low-cost testing options below matter.
An estimated ~30% of Texas residents are aged 15–34 (ACS) — the age group with the highest reported chlamydia and gonorrhea rates nationally, which is why testing access across the state matters.
Texas ranks #21 of 51 U.S. states & DC for chlamydia
Reported STD rates per 100,000 — Texas vs South vs U.S.
TexasSouthU.S.
Infection
Texas
South
United States
Chlamydia
491.9150,056 cases▼ 0%
545.3
492.2
Gonorrhea
176.453,793 cases▼ 2%
206.3
179.5
Syphilis (P&S)
154,562 cases▼ 5%
18.4
15.8
Syphilis (early)
26.48,065 cases▲ 65%
19.9
16
Syphilis (late/unknown)
44.313,528 cases▲ 50%
34.1
29.5
Rates per 100,000 population, latest year. Source: CDC NCHHSTP AtlasPlus (all-ages basis). Bars are scaled to the highest rate shown; the badge is each Texas rate versus the U.S. average.
Reported STD rates in Texas over time (per 100,000)
Chlamydia ▼ 5% vs 2022
Chlamydia
Gonorrhea
Syphilis (P&S)
Between 2020 and 2023 in Texas, chlamydia has risen from 463.6 to 491.9 per 100,000 (6%), gonorrhea has fallen from 199.8 to 176.4 per 100,000 (12%), and P&S syphilis has risen from 9.3 to 15 per 100,000 (61%).
The 2020 dip reflects reduced pandemic-era screening, not lower transmission. Source: CDC NCHHSTP AtlasPlus.
Community health context
What shapes testing access in Texas
Adults uninsured
17.7%
Primary-care shortage counties
231 of 254
Public & community clinics
1,350
Pharmacies statewide
2,128
Social Vulnerability Index · Texas's counties average the 76th percentile nationally
Lower insurance coverage and a thin clinic-to-population ratio raise the value of free public clinics and confidential at-home testing across Texas (pop. 30,503,301). Sources: U.S. Census ACS (uninsured), HRSA & CDC NPIN (clinics), NPPES & OpenStreetMap (pharmacies), CDC/ATSDR SVI.
Statewide HIV snapshot
HIV in Texas (2023)
New diagnoses
20.2 / 100k
People living with HIV
110,094
On PrEP (coverage)
28.4%
Virally suppressed
66.6%
Texas HIV care continuum (2023)
Texas reports 20.2 new HIV diagnoses per 100,000 — above the U.S. rate of 13.7. The rate has risen33% since 2020.
Among Texas residents living with HIV, 83.6% know their status · 79.7% are linked to care · 77% are in care · 66.6% are virally suppressed.
On prevention, 28.4% of those who could benefit from PrEP are taking it (below the 31.3% national average).
Early, routine testing is what moves these numbers — it is the entry point to PrEP, treatment, and viral suppression.
Source: CDC NCHHSTP AtlasPlus. The CDC recommends everyone aged 13–64 test for HIV at least once — every clinic and lab listed above offers HIV testing.
Also screened
Viral hepatitis in Texas
Comprehensive panels also screen for hepatitis B and C, both sexually transmissible. Per 100,000, Texas vs U.S.
Hepatitis A (acute)
0.6U.S. 0.5
Hepatitis B (acute)
0.3U.S. 0.7
Hepatitis C (acute)
0.1U.S. 1.5
Congenital syphilis in Texas
Pregnant or planning to be?
Congenital syphilis — passed from parent to baby in pregnancy — is the fastest-rising STI in the country.
Texas reported 930 cases in 2023, up from 565 in 2020.
Nationally, cases climbed from 2,163 (2020) to 3,882 (2023).
It is almost entirely preventable with a syphilis test at the first prenatal visit.
Source: CDC NCHHSTP AtlasPlus, 2023.
How Texas's STD rates compare
Texas reported a chlamydia rate of 491.9 per 100,000 in its most recent surveillance year — 0% below the U.S. average of 492.2, and below the South regional rate of 545.3. Gonorrhea ran 176.4 per 100,000, and primary-and-secondary syphilis 15.
Among the 50 states and DC, Texas ranks #21 of 51 for chlamydia. Statewide chlamydia has risen 6% since 2020. The 2020 dip in the trend reflects reduced pandemic-era screening, not lower transmission — and because most STDs are silent, reported counts understate true spread.
Access and cost across Texas
Testing reaches every corner of Texas: 1,350 public and community health clinics test free or on a sliding scale, private walk-in labs return confidential results in 1–2 days, and at-home kits ship to every ZIP code — with the densest options around Houston, San Antonio, and Dallas.
About 17.7% of Texas adults are uninsured and 14.7% live below the poverty line, so cost is the most common reason testing gets delayed. Free public-clinic testing, sliding-scale community health centers, and self-pay private labs that never bill insurance keep screening within reach — weigh them on price, privacy, and turnaround using the comparison above.
Who's most at risk — and how often to test
About 30% of Texas residents are aged 15–34. The CDC estimates people aged 15–24 account for roughly half of all new STIs nationwide despite being a small share of the population, so screening guidance is age-aware.
Sexually active women under 25 — and anyone with new or multiple partners — should test for chlamydia and gonorrhea every year; everyone aged 13–64 should test for HIV at least once; and pregnant residents are screened early in pregnancy. Because most STDs cause no symptoms, testing on the CDC's schedule — not only when something feels wrong — is the reliable way to catch an infection before it spreads.
Texas offers multiple prevention options and accessible testing locations
Texas provides condoms, HPV and hepatitis B vaccinations, and HIV prevention medication (PrEP) through 523 featured labs, 1,350 public clinics, and 2,128 pharmacies. These services are available statewide, with public clinics and pharmacies offering affordable care. Individuals can access prevention resources through local health departments or community health centers.
The state’s 1,350 public clinics and 2,128 pharmacies ensure widespread access to STD prevention tools. Featured labs support targeted testing and education initiatives. Residents can find prevention services by contacting local health departments or using the state’s provider directory to locate nearby facilities.
To locate testing and prevention services, Texas residents can visit the state’s health department website or contact local public clinics and pharmacies directly. Mobile clinics and outreach programs also provide access in rural and underserved areas. All providers adhere to state guidelines for confidential and equitable care.
Reported counts only capture people who got tested — and because most STDs cause no symptoms, real transmission runs higher than any surveillance number suggests, so Texas's below-average numbers are no reason to skip screening — consistent testing is what keeps them low.
Untreated, these infections do lasting damage: chlamydia and gonorrhea scar the reproductive system and cause infertility; syphilis can lead to stillbirth and organ damage; any active STI raises HIV risk. Caught early, almost all are curable or controllable with a single course of treatment.
Make it routine, not reactive: test as part of your annual check-up if you're sexually active, every three months with new or multiple partners, and before unprotected sex with a new partner. Since 2015 the CDC has urged insurers to cover annual screening for women under 25 at no cost.
Testing protects more than you: a silent infection passes to partners unknowingly. When Texas residents test on a schedule, the whole state's transmission drops — knowing your status is the single highest-leverage thing you can do.
Reference
STD testing guidelines for Texas
Two quick references for getting tested in Texas: 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 — every clinic and lab listed above for Texas screens for them.
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 Texas-area provider.
These are the federal Medicare reference prices for processing each lab test. Public clinics and the
community health centers serving Texas 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.
Privacy
Confidentiality & consent in Texas
The questions Texas residents ask most before testing, answered under Texas law — which sets confidentiality and consent the same way statewide. Prefer to keep your name off the record? See our guide to anonymous STD testing.
Can a minor consent?
In Texas, a minor of any age can consent to confidential STI testing and treatment on their own — no parental permission is required.
Will it show on my insurance?
If you use health insurance, an Explanation of Benefits (EOB) may be mailed to the policyholder. Under HIPAA you can ask your insurer in writing to send communications confidentially. To keep a test fully private, choose a self-pay private lab, an at-home kit, or a public health clinic — none of these bill your insurance.
Anonymous & no-insurance options
Public health clinics and at-home kits let you test without involving insurance or your regular doctor. Many Texas health departments offer free or low-cost STI testing, and several sites provide anonymous HIV testing.
Can my partner be treated too?
Yes. Texas permits Expedited Partner Therapy (EPT): if you test positive for chlamydia or gonorrhea, your provider can give you medication to pass to your partner — no separate exam or appointment needed for them.
Source: Guttmacher Institute — Minors' Access to STI Services; HIPAA 45 CFR 164.522; CDC — Legal Status of Expedited Partner Therapy (last updated Jul 2025). General information, not legal advice.
Prevention & treatment
PrEP, prevention & online treatment
Testing is one step. For residents of Texas, 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.
Browse by city
STD testing in every Texas city
Choose your city for the local picture — nearby clinics, lab prices, county STI rates, and at-home kits shipped to your door. We cover all 4,048 Texas cities and towns; the largest are below.
Answers to the questions people ask most before getting tested.
How much does STD testing cost in Texas?
Testing is free at public clinics, while a single test starts at $24 and a full panel costs about $139 at some providers. At-home testing kits range from $99 to $209.
Where can I get tested for STDs across Texas?
Texas has 1,350 public clinics, 2,128 pharmacies, and 523 featured labs offering testing. At-home kits also ship statewide.
How many STD testing options are available in Texas?
Texas has 1,350 public clinics, 2,128 pharmacies, and 523 labs that provide STD testing. At-home options are also widely available.
Are there free or low-cost testing options in Texas?
Yes, public clinics and community health centers offer free or sliding-scale testing for uninsured individuals across Texas.
Is my STD test result private in Texas?
Testing at public clinics is confidential, and at-home kits offer the most privacy since results aren’t shared without your consent.
Can minors in Texas get STD testing without parental consent?
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
Do I need symptoms to get tested for STDs in Texas?
Yes, the CDC recommends regular screening even if you feel fine. Texas has a chlamydia rate of 491.9 per 100,000 people.
How soon after exposure should I get tested in Texas?
The CDC advises getting tested 1–2 weeks after potential exposure. Texas has a chlamydia rate of 491.9 per 100,000 people.
What infections does a standard STD panel test for?
A standard panel checks for chlamydia, gonorrhea, syphilis, HIV, and hepatitis. Texas has a chlamydia rate of 491.9 per 100,000 people.
How do at-home STD tests work in Texas?
At-home kits ship to all 254 Texas counties and take 1–2 days for results. Telehealth treatment is available through some providers.
How does Texas’s chlamydia rate compare nationally?
Texas’s chlamydia rate is 491.9 per 100,000 people, matching the national rate but 10% lower than the South’s regional average.
Editorial standards
Reviewed by EasySTD Editorial Team · Updated
How we rank, source & review
Full transparency on how this Texas 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.
