STD Testing in Apple Valley, MN: Free, Same-Day & Confidential
New HIV diagnoses in Dakota County are about 59% lower than the US average. Whether you need testing after a possible exposure or as part of routine care in Apple Valley, Minnesota, you can weigh options between community and public clinics, which are often low-cost or free, and private labs that typically offer faster results and more flexible scheduling. We have listed the choices below.
11 testing options are listed for Apple Valley, MN. The nearest, Allina Health, is about 0.7 miles away. Compare community and public clinics, private labs, and at-home kits below.
How to read these listings
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.
Source: CMS FQHC & Rural Health Clinic enrollment files (data.cms.gov), refreshed quarterly. Title X status reflects the latest OPA grantee list.
Location unavailable — enter a ZIP code or city instead.
Premium Partner
Labcorp
Most popular Results in 1–2 days
2.5(234)?Where these reviews come from
Review sources
Google229
EasySTD5
Rated 2.5 out of 5 from 234 reviews
Address
2716 East 82nd Street, Minneapolis, MN 55425 7.7 miles away
Today's offer: $10 off any test panel, applied automatically at checkout.
Closest to you 0.7 miles
Allina Health
4.0(900)?Where these reviews come from
Review sources
Google895
EasySTD5
Rated 4 out of 5 from 900 reviews
Allina Health in Apple Valley requires an appointment, so scheduling ahead is the move, and a single visit covers gonorrhea, chlamydia, syphilis, herpes, hepatitis A and B, and HIV, with same-visit treatment for bacterial infections and fees billed to Medicaid, Medicare, or insurance on a sliding scale. Care is available in Spanish.
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Herpes and Hepatitis Tested on the Same Visit
Ordering a herpes test here means a blood draw for HSV antibodies run through the same lab workflow as the syphilis and HIV screens, no separate referral or second appointment. Hepatitis A and B are tested the same way, with vaccines available on-site if immunity is absent.
Clinical Conversations Conducted in Spanish
Care at Allina Health Apple Valley is delivered in Spanish, which means clinical conversations (symptom history, treatment instructions, follow-up planning) happen in the same language, reducing the chance that something gets lost between the exam room and the door.
Valley Medical and Wellness in Burnsville tests for gonorrhea, chlamydia, syphilis, HIV, and hepatitis A, B, and C on a sliding-scale fee accepted by Medicaid and most insurers. Bacterial STIs and hepatitis B are treated on-site, and appointments are required.
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Live Interpretation Across Non-English Languages
Valley Medical and Wellness has interpretation services available for non-English-speaking patients, meaning clinical conversations (exposure history, treatment plans, follow-up instructions) are handled through a live interpreter rather than approximated. Accurate communication at that level directly shapes whether a treatment course is understood and followed.
Hepatitis A, B, and C Added to the Core Panel
Beyond the standard four, Valley Medical and Wellness tests for hepatitis A, B, and C in the same visit, and treats hepatitis B on-site, so a positive result moves directly into a managed care plan without routing patients elsewhere for the next step.
English, Interpretation Services Available for Non-English Languages
Tests offered
Hepatitis A
Hepatitis C
Hepatitis B
Gonorrhea
Syphilis
Chlamydia
Conventional HIV
Serves
American Indian or Alaska Native persons
Asian or Pacific Islander persons
Black or African American persons
Gay Men
Hispanic or Latino persons
LGBTQ
Low Income Persons
Men Who Have Sex with Men (MSM)
Care services
STI Treatment
Hepatitis B Treatment
Prevention services
STI Prevention/Education
HIV/AIDS Prevention/Education
HIV Test Counseling
Hepatitis Prevention/Education
Fees & payment
Medicaid Accepted
Fee
Insurance Accepted
Listing verified Dec 2025 · Source: CDC NPIN
Best for free testing 10.3 miles
First Care Pregnancy Center
4.4(33)?Where these reviews come from
Review sources
Google29
EasySTD4
Rated 4.4 out of 5 from 33 reviews
First Care Pregnancy Center in Richfield pairs family planning with a full STI panel (gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis B, and hepatitis C) by appointment, with same-visit treatment for bacterial infections. Every test and service carries no fee.
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Every Test and Treatment Costs Nothing Here
When testing reveals a bacterial infection, the next step is treatment, and at First Care Pregnancy Center in Richfield, that step never generates a separate bill. No service here carries a charge, so the gap between diagnosis and care closes at the same visit, not across multiple appointments driven by what someone can afford.
Spanish Speakers Get Direct Care, Not Brokered Communication
Many clinics handle Spanish by patching in an outside service, which puts distance between a patient and their provider at exactly the moment clarity matters most. First Care Pregnancy Center in Richfield delivers care directly in Spanish, so nothing about the conversation gets filtered or delayed.
Herpes and Hepatitis Testing Alongside the Core Panel
First Care Pregnancy Center in Richfield runs herpes, hepatitis B, and hepatitis C tests alongside gonorrhea, chlamydia, syphilis, and HIV: a range that serves anyone without a regular provider who needs a thorough baseline, or who wants to rule out infections that a shorter panel would simply leave unaddressed.
Hennepin Healthcare in Richfield runs on sliding-scale fees with Medicaid and private insurance accepted, covering gonorrhea, chlamydia, syphilis, herpes, rapid and conventional HIV, hepatitis A, B, and C, and TB: by appointment, with same-visit treatment for bacterial infections and care delivered in American Sign Language, Spanish, and additional interpreted languages.
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Hepatitis C Diagnosis and Treatment Stay Together
A hepatitis C diagnosis that ends at the antibody test sends patients chasing a second provider, a second intake, and weeks of delay before antiviral therapy starts. At Hennepin Healthcare, treatment follows diagnosis in the same clinical relationship. The gap between knowing and actually getting better doesn't open.
PrEP and PEP Prescribed at the Same Appointment
Hennepin Healthcare prescribes both PrEP and PEP directly, meaning patients leave with an active prevention plan rather than pending paperwork. That continuity keeps the window between decision and medication as short as possible.
ASL and Spanish Aren't Bolted On Here
Many clinics treat non-English and Deaf patients as edge cases, routing communication through intermediaries that slow and flatten a clinical conversation. Hennepin Healthcare delivers care in American Sign Language and Spanish directly, and interpretation is available for other languages, so the exchange between patient and provider carries the same precision it would in any other visit.
Tests & treatsSliding-scalePrEP
Address
790 West 66th Street, Market Plaza Richfield, MN 55423
American Sign Language, English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Hepatitis A
Hepatitis C
Hepatitis B
TB
Gonorrhea
Syphilis
Herpes
Chlamydia
Rapid HIV
Conventional HIV
Serves
Adolescents/Youth/Teens
American Indian or Alaska Native persons
Asian or Pacific Islander persons
Black or African American persons
Gay Men
Hispanic or Latino persons
LGBTQ
Low Income Persons
Care services
Family Planning
Medication Adherence Education and Counseling
TB Treatment
STI Treatment
Human Papillomavirus Vaccine (HPV)
HIV/AIDS Medical Treatment
Hepatitis C Treatment
Hepatitis B Treatment
Hepatitis A Vaccine
Adult Hepatitis B Vaccine
Prevention services
TB Prevention/Education
STI Prevention/Education
HIV/AIDS Prevention/Education
HIV Test Counseling
Hepatitis Prevention/Education
Condom Distribution
Fees & payment
Medicaid Accepted
Fee
Insurance Accepted
Listing verified Jan 2026 · Source: CDC NPIN
12.2 miles
Entira Family Clinics
4.5(317)?Where these reviews come from
Review sources
Google312
EasySTD5
Rated 4.5 out of 5 from 317 reviews
Entira Family Clinics in West Saint Paul tests for HIV, hepatitis A, B, and C, syphilis, gonorrhea, chlamydia, herpes, and TB, with same-visit treatment for bacterial infections, on a sliding-scale fee accepted alongside Medicaid and private insurance, by appointment, with staff fluent in eight languages including American Sign Language.
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Hepatitis C Diagnosis Leads Directly to Treatment
Entira treats hepatitis C on-site, which means a confirmed diagnosis moves into a treatment plan within the same practice rather than stalling at the handoff point. Patients managing a chronic infection see the same clinical team through the full course of care.
Entira carries both PrEP and PEP as standing clinical services, making it a complete source for HIV prevention medication for anyone without a regular prescribing provider or for those who want prevention integrated into ongoing primary care rather than managed through a separate channel.
Eight Languages Spoken Across Entira's Clinical Staff
Entira delivers care directly in American Sign Language, Chinese, French, Haitian Creole, Portuguese, Spanish, Tagalog, and Vietnamese. Eight languages spoken by staff, not routed through outside services. For a patient discussing PrEP eligibility or a hepatitis C treatment plan, that directness shapes the quality of every clinical exchange.
Tests & treatsPrEP
Address
234 Wentworth Avenue East, West Saint Paul, MN 55118
American Sign Language, Chinese, English, French, Haitian Creole, Interpretation Services Available for Non-English Languages, Portuguese, Spanish, Tagalog, Vietnamese
Tests offered
Hepatitis A
Hepatitis C
Hepatitis B
TB
Gonorrhea
Syphilis
Herpes
Chlamydia
Rapid HIV
Conventional HIV
Serves
Adolescents/Youth/Teens
American Indian or Alaska Native persons
Asian or Pacific Islander persons
Black or African American persons
Gay Men
Hispanic or Latino persons
LGBTQ
Low Income Persons
Care services
Family Planning
Medication Adherence Education and Counseling
TB Treatment
STI Treatment
Human Papillomavirus Vaccine (HPV)
Hepatitis C Treatment
Hepatitis B Treatment
Hepatitis A Vaccine
Adult Hepatitis B Vaccine
Prevention services
TB Prevention/Education
STI Prevention/Education
HIV/AIDS Prevention/Education
HIV Test Counseling
Hepatitis Prevention/Education
Condom Distribution
Fees & payment
Medicaid Accepted
Fee
Insurance Accepted
Listing verified Feb 2026 · Source: CDC NPIN
Community health center 13.0 miles
United Family Medicine
No ratings yet
United Family Medicine in Saint Paul structures its fees on a sliding scale tied to income, ensuring that cost alone doesn't block care. Walk-ins are welcome for STI screening, which covers syphilis, gonorrhea, and chlamydia through this federally qualified health center.
Planned Parenthood North Central States in Eden Prairie pairs family planning infrastructure with a full STI panel (gonorrhea, chlamydia, syphilis, herpes, and rapid or conventional HIV) on a sliding-scale fee with appointments, same-visit treatment for bacterial infections, and interpretation services for non-English speakers.
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Live Interpretation, Not a Language Line
Walk-in urgent-care and many standalone test sites hand off language access to a phone service that neither clinician knows how to use well. At Planned Parenthood North Central States, interpretation is coordinated as part of the visit itself, so the conversation about symptoms, treatment, and next steps happens with real fluency, not workarounds.
Title X Confidentiality Extends to Minors Here
As a Title X-funded clinic, Planned Parenthood North Central States provides legally confidential family planning services to minors: meaning a young person can access STI testing, treatment, and prevention without that care appearing on a parent's insurance or requiring guardian involvement.
The clinic prescribes both PrEP and PEP directly, no outside referral for the medication itself. PrEP requires periodic HIV testing and kidney-function labs to stay on the regimen safely; the clinical staff at Planned Parenthood North Central States handles that monitoring, keeping the prescription and the follow-up care in the same place.
Tests & treatsTitle XSliding-scalePrEP
Address
582 Prairie Center Drive, Suite 215 Eden Prairie, MN 55344
Beyond the dedicated testing centers above: at-home kits by mail, hospital labs certified for STI testing, local clinicians who can order a panel during a regular visit, pharmacies for self-test kits and prescriptions, and online PrEP & treatment.
The nearest testing center is less than a mile away; if you'd rather skip the trip, an at-home kit ships to Apple Valley, 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 (opens in a new tab) 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.
In-home collection
$79 & up
Panel:
8-infection panel incl. chlamydia, gonorrhea, HIV, syphilis, hepatitis & herpes: single tests too
Sample:
Quest Mobile: a phlebotomist collects your sample at home
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.
Also in the area
Other CLIA-certified labs near Apple Valley, MN
Beyond the public testing sites above, these federally certified (CLIA) labs serve Dakota County, 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.
Healthpartners Apple Valley Clinic Laboratory
15350 English Avenue, Apple Valley, MN 55124
CMS-certified labAccredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Apple Valley. A CLIA certificate records only that a laboratory is federally certified — it does not confirm the site performs STD testing, nor its hours, price or access. Inclusion is not an endorsement; always call to verify.
Local clinicians
Clinicians near Apple Valley, MN who may help arrange STD testing
Beyond dedicated clinics, 2,801 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Apple Valley. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 1,145 offer telehealth.
JR
Jonathan Rief, MD Telehealth
Family medicine · 14655 Galaxie Avenue, Apple Valley
These are registry-listed clinicians, not dedicated STD-testing clinics. CMS records do not independently verify current licensure, testing services, availability, price, or new-patient status. Confirm each detail before booking. Source: CMS Doctors & Clinicians.
Nearby pharmacies
Pharmacies near Apple Valley, MN
No pharmacy near Apple Valley, MN publishes an STD-related service or holds a current CLIA testing certificate, so these are simply the closest. Contact a location directly to confirm counter hours, services, prices, and availability before visiting.
Showing the 4 closest pharmacies to Apple Valley, MN.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
PrEP, prevention & online treatment
Testing is one step. For residents of Apple Valley, telehealth covers the rest: 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.
Online treatment
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.
STD stats & rates
STDs & HIV in Dakota County: the local picture
How reported STI rates in Dakota County, the county that includes Apple Valley, compare with Minnesota and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~25% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#12
#12 of 87 Minnesota counties for chlamydia, a higher rate than 86% of the state
Reported STD rates per 100,000, Dakota County vs Minnesota vs U.S.
Dakota CountyMinnesotaU.S.▲▼ = Dakota County vs the state average
Infection
Dakota County
Minnesota
United States
Chlamydia
321.61,439 cases▼ 15%
379.5
492.2
Gonorrhea
92.1412 cases▼ 32%
134.5
179.5
Syphilis (P&S)
3.817 cases▼ 56%
8.7
15.8
Syphilis (early)
3.616 cases▼ 46%
6.7
16
Syphilis (late/unknown)
6.730 cases▼ 54%
14.7
29.5
Rates per 100,000 population, 2023. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis). Population figures: U.S. Census Bureau ACS. These figures are the latest available surveillance estimates. Bars are scaled to the highest rate shown.
Reading these numbers: reported case rates only count infections that were actually tested for and diagnosed, so they track local screening effort as much as true spread: a higher rate can reflect more testing, a lower one less. Either way, most STIs cause no symptoms, so treat the figures above as context rather than a verdict, and test on the CDC's schedule regardless of how your area looks.
Reported STD rates in Dakota County over time (per 100,000)
Chlamydia ▲ 3% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Dakota County, chlamydia has fallen from 325.1 to 321.6 per 100,000 (1%), gonorrhea has fallen from 118 to 92.1 per 100,000 (22%), and P&S syphilis has risen from 3.2 to 3.8 per 100,000 (19%).
The 2020 dip reflects reduced pandemic-era screening, not lower transmission. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis).
Community health context
What shapes testing access in and around Apple Valley, MN
Adults uninsured
7.4%
No routine checkup
24%
No transportation
6.5%
Binge drinking
16.7%
Frequent mental distress
14.3%
Depression
23.3%
Below poverty line
5.9%
Primary-care ratio
1,656 : 1
Dakota County
Social Vulnerability Index · 15th percentile nationally
Sources: CDC PLACES (ZIP), County Health Rankings, CDC/ATSDR SVI, HRSA HPSA, HRSA MUA/P, Neighborhood Atlas ADI. Lower insurance coverage, fewer routine checkups, and a thin primary-care ratio all raise the value of low-cost public clinics and at-home testing in Dakota County.
Local HIV snapshot
HIV in Dakota County (2023)
People living with HIV
154 / 100k
New diagnoses (2023)
21cases countywide
On PrEP (coverage)
24.4%
Dakota County HIV care continuum (2023)
Dakota County recorded 5.6 new HIV diagnoses per 100,000 (2023), against 6.7 statewide and 13.7 nationally. Among Dakota County residents living with HIV, 76.9% are in care · 64.4% are virally suppressed. Early, routine testing is what moves these numbers: it is the entry point to PrEP, treatment, and viral suppression.
Sources: AIDSVu (Emory/Gilead) · CDC AHEAD · CDC AtlasPlus · CDC NCHHSTP AtlasPlus (county care continuum). The CDC recommends everyone aged 13–64 test for HIV at least once: every lab and clinic listed above offers HIV testing, and free rapid HIV testing is available at a local health department.
Pregnant or planning to be?
Congenital syphilis is the fastest-rising STI: what to test, and when
Congenital syphilis, passed from parent to baby in pregnancy, is the fastest-rising STI in the country. U.S. cases climbed from 2,163 in 2020 to 3,882 in 2023. It is almost entirely preventable: the CDC recommends a syphilis test at the first prenatal visit, and every clinic and lab listed for Dakota County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Compiled and checked by EasySTD's editorial team against CDC and public-health sources. This is educational information, not a substitute for advice from a licensed clinician. Our editorial guidelines → (opens in a new tab)
Cedar Isle Park on a weekday afternoon looks like stability made visible: maintained yards, kids on the trail loop, a neighborhood where most households have owned their home for years and two incomes are common. That settled character is part of Apple Valley's appeal, but it also shapes who tends to fall through the cracks when it comes to sexual health screening. The roughly one-in-five households that rent here, often younger adults in their late teens and twenties still building toward ownership, face $1,300-plus monthly rents that compress every discretionary expense, including clinic visits that feel optional until they aren't. Apple Valley's workforce participation is high, which means most people here are logging full days before they ever weigh whether to fit a health appointment into the week.
Getting anywhere without a car along Cedar Avenue or County Road 42 takes planning that most people simply won't sustain. Those practical realities fall hardest on people under 35, who nationally, and in Dakota County's own rate data, account for a disproportionate share of new STI diagnoses. Convenient, affordable testing options aren't a nice-to-have in a spread-out suburb; they're what determines whether screening happens at all. With the listed options varying in cost, hours, and distance from Scott Highlands to Galaxie Commons, the right match for your schedule and budget is genuinely findable here.
Getting there
How residents reach STD testing in Apple Valley, MN
Walkability13.03 / 20 · Above average
Apple Valley scores 13.03/20 on the EPA walkability index, so many trips are walkable or a short ride, though a car still gives you the widest choice of testing centers.
Source: EPA National Walkability Index 2021.
ZIP 55124 snapshot
Residents
55,675
Median age
37
Median income
$99,354
ZIP-level Census figures for the wider 55124 area around Apple Valley: a single ZIP can span several communities, so they describe the area, not Apple Valley alone.
Apple Valley sits in Dakota County, ZIP 55124. Local context that shapes where residents test:
Local landmarks
Cedar Isle Park
Scott Park
Galaxie Park
Johnny Cake Ridge Park West
Faith Park
Johnny Cake Ridge Park East
Neighborhoods & communities
Cedar Isle Park
Scott Highlands
Redwood
Galaxie Commons
Cedar Knolls
Old Town
Glendalough
Picnic Island
Major routes
CR 23 (Cedar Avenue)
MN 77 (Cedar Avenue)
CR 42 (County Road 42)
Nearby cities & towns
Nearby cities and towns near Apple Valley, MN
Just outside Apple Valley? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in Apple Valley, MN: screening, costs & privacy
Everything to know before you test in Dakota County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Minnesota law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
Who should test, and when
CDC screening schedule + each infection's detection window
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 an Apple Valley-area provider.
Medicare reference prices per lab test, a benchmark before you pay out of pocket
These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Apple Valley 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
$26.87
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.
Confidentiality & consent in Minnesota
Minor consent and partner treatment (EPT) under state law, plus how to test privately
Two things that actually depend on Minnesota law: who can consent, and whether partners can be treated without their own visit. Everything else about testing privately is the same nationwide (see below).
Can a minor consent on their own?
In Minnesota, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Can my partner be treated too? (EPT)
Minnesota permits Expedited Partner Therapy (EPT): if you test positive for chlamydia or gonorrhea, your provider can give you medication (or a prescription) to pass to your partner, no separate exam or appointment needed for them.
Keeping a test private works the same in every state. Whether an STD test shows on insurance (the EOB), how to test anonymously, and self-pay options that leave no insurance trail don’t change by location.