STD Testing in Lexington, KY: Free, Same-Day & Confidential
In Fayette County, new HIV diagnoses run about 45% higher than the US average. If you are in Lexington, Kentucky and testing before starting a new relationship or as part of ongoing care, you may choose between visiting a clinic or using an at-home kit, depending on your preference for convenience or personalized guidance. For your options, see the list below.
12 testing options are listed for Lexington, KY. The nearest, HealthFirst Bluegrass Goodwin, is about 0.2 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.
Premium Partner
Labcorp at Walgreens
Most popular Results in 1–2 days
3.7(4)?
Review sources
Google3
EasySTD1
Rated 3.7 out of 5 from 4 reviews
Address
3001 Pink Pigeon Parkway, Lexington, KY 40509 2.8 miles away
Today's offer: $10 off any test panel, applied automatically at checkout.
Community health center 0.2 miles
HealthFirst Bluegrass Goodwin
2.8(5)?
Review sources
Google4
EasySTD1
Rated 2.8 out of 5 from 5 reviews
HealthFirst Bluegrass Goodwin, in Lexington, earns its federally qualified health center designation partly by anchoring STI care to a sliding-scale fee structure calibrated to each patient's income. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia screening, with no fixed price standing between anyone and testing.
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
STI Treatment
Human Papillomavirus Vaccine (HPV)
Hepatitis C Treatment
Hepatitis A Vaccine
Adult Hepatitis B Vaccine
Prevention services
STI Prevention/Education
HIV/AIDS Prevention/Education
HIV Test Counseling
Hepatitis Prevention/Education
Condom Distribution
Fees & payment
Medicaid Accepted
Medicare Accepted
Fee
Insurance Accepted
Listing verified Jan 2026 · Source: CDC NPIN + HRSA
Community health center 1.3 miles
HealthFirst Bluegrass MET.
4.5(34)?
Review sources
Google30
EasySTD4
Rated 4.5 out of 5 from 34 reviews
HealthFirst Bluegrass MET. in Lexington, earns its federal qualification precisely by keeping STI care reachable for people paying out of pocket, between providers, or working without insurance. Sliding-scale fees adjust to income, and walk-ins are welcome for syphilis, gonorrhea, and chlamydia screening.
Sliding-scale
Address
576 East Third Street, Apartment 170, Lexington, KY 40508
HealthFirst Bluegrass Bryan Station in Lexington meets patients wherever they land in the system: between providers, paying cash, or working without insurance. Federal qualification backs its sliding-scale fees, making syphilis, gonorrhea, and chlamydia screening genuinely within reach for anyone, at any income level.
University of Kentucky's Lexington clinic requires an appointment and covers HIV, syphilis, gonorrhea, chlamydia, hepatitis A, B, C, and TB testing on a sliding-scale fee open to everyone, with same-visit treatment for bacterial infections and interpretation services available for non-English speakers.
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Hepatitis C Treated Here, Not Handed Off
Hepatitis C care at this clinic extends past the antibody result into active treatment, clinicians prescribe and monitor direct-acting antivirals on-site, tracking viral load response through the course of therapy rather than routing the work elsewhere.
PrEP and PEP Prescribed Without a Primary Care Provider
The clinic maintains standing capacity to prescribe both PrEP and PEP, and carries dedicated funding to cover PrEP costs for uninsured patients. Making it a reliable source for anyone who needs ongoing HIV prevention medication but hasn't established care with a regular provider.
Interpretation Services Span the Full Clinical Visit
Interpretation services for non-English languages extend across the entire appointment (counseling, test results, and treatment conversations) so that nothing medically significant is compressed or deferred because of language.
English, Interpretation Services Available for Non-English Languages
Tests offered
Hepatitis A
Hepatitis C
Hepatitis B
TB
Gonorrhea
Syphilis
Chlamydia
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
STI Treatment
Human Papillomavirus Vaccine (HPV)
HIV/AIDS Medical Treatment
Hepatitis C Treatment
Hepatitis A Vaccine
Adult Hepatitis B Vaccine
Prevention services
STI Prevention/Education
HIV/AIDS Prevention/Education
HIV Test Counseling
Hepatitis Prevention/Education
Fees & payment
Medicaid Accepted
PrEP for uninsured
Fee
Insurance Accepted
Listing verified Nov 2025 · Source: CDC NPIN
Community health center 1.8 miles
Bluegrass Community Health Center
2.7(78)?
Review sources
Google73
EasySTD5
Rated 2.7 out of 5 from 78 reviews
Bluegrass Community Health Center in Lexington carries federally qualified status, which means its STI screening fees slide according to income: making syphilis, gonorrhea, and chlamydia testing available to patients across the financial spectrum, no appointment required.
Sliding-scale
Address
224 North Martin Luther King Blvd Suite 200, Lexington, KY 40507
HealthFirst Bluegrass Health Care for Homeless Hope Center
4.2(6)?
Review sources
Google5
EasySTD1
Rated 4.2 out of 5 from 6 reviews
HealthFirst Bluegrass Health Care for Homeless Hope Center, Lexington, earns its federal qualification partly by tying fees to income. No one is turned away because they can't pay full price. Walk-ins can access sliding-scale STI screening for syphilis, gonorrhea, and chlamydia without an appointment.
Lexington-Fayette County Health Department brings the full infrastructure of a public health department to STI care in Lexington: rapid and conventional HIV testing, the standard bacterial panel, same-visit treatment for gonorrhea, chlamydia, and syphilis, and all services provided at no fee.
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The Fee Structure Is Simply Zero
Lexington-Fayette County Health Department is funded to operate STI and HIV testing, treatment, hepatitis C testing, and Mpox vaccination without charging patients anything. No sliding scale to navigate, no insurance required to avoid a bill. The mechanism is public health department funding, not charity pricing.
Spanish Is a Clinical Operating Language Here
Spanish-language services at Lexington-Fayette County Health Department are a staffed clinical capacity: meaning prevention education, HIV test counseling, and STI care are delivered in Spanish as a direct service, not a workaround. That affects how risk and treatment details actually land.
Hepatitis C Is Tested Rapid, On-Site
Alongside HIV, syphilis, gonorrhea, and chlamydia, Lexington-Fayette County Health Department runs a rapid hepatitis C antibody test in-house. Results available the same visit. On-site rapid hep C testing means a positive doesn't wait for a separate appointment to surface.
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 Lexington, 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.
In-home collection
Quest Diagnostics
$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 Lexington, KY
Beyond the public testing sites above, these federally certified (CLIA) labs serve Fayette 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.
Ameripath Kentucky
2620 Wilhite Drive, Suite 213, Lexington, KY 40503
CMS-certified labAccredited · College of American Pathologists
Showing 6 of the CLIA-certified labs in Fayette County.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Lexington. 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 Lexington, KY who may help arrange STD testing
Beyond dedicated clinics, 614 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Lexington. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 179 offer telehealth.
CM
Chandler Maguet
Family medicine · 2195 Harrodsburg Road, Lexington
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 Lexington, KY
Compare the pharmacies closest to Lexington, KY. Contact a location directly to confirm pharmacy-counter hours, services, prices, and product availability before visiting.
Showing the 5 closest pharmacies to Lexington, KY.
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 Lexington, 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.
PrEP & DoxyPEP
Mistr
$0 with most insurance
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.
STD stats & rates
STDs & HIV in Fayette County: the local picture
How reported STI rates in Fayette County, the county that includes Lexington, compare with Kentucky 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.
#5
#5 of 120 Kentucky counties for chlamydia, a higher rate than 96% of the state
Reported STD rates per 100,000, Fayette County vs Kentucky vs U.S.
Fayette CountyKentuckyU.S.▲▼ = Fayette County vs the state average
Infection
Fayette County
Kentucky
United States
Chlamydia
612.81,962 cases▲ 60%
381.9
492.2
Gonorrhea
208666 cases▲ 55%
134.4
179.5
Syphilis (P&S)
2064 cases▲ 42%
14.1
15.8
Syphilis (early)
20.967 cases▲ 44%
14.5
16
Syphilis (late/unknown)
26.585 cases▲ 40%
18.9
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 Fayette County over time (per 100,000)
Chlamydia ▲ 2% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Fayette County, chlamydia has fallen from 728.5 to 612.8 per 100,000 (16%), gonorrhea has fallen from 344.7 to 208 per 100,000 (40%), and P&S syphilis has risen from 13.6 to 20 per 100,000 (47%).
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 Lexington, KY
Adults uninsured
7.6%
Fayette County
Below poverty line
20%
Primary-care ratio
832 : 1
Fayette County
Primary-care shortage score 22 / 26
Medically Underserved Area · IMU 59.2
Social Vulnerability Index · 55th 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 Fayette County.
Local HIV snapshot
HIV in Fayette County (2023)
Federal priority area: Kentucky is one of the U.S. jurisdictions prioritized under the Ending the HIV Epidemic initiative: targeted federal funding to expand local HIV testing, PrEP, and prevention.
People living with HIV
470 / 100k
New diagnoses (2023)
54cases countywide
On PrEP (coverage)
38.5%
Fayette County HIV care continuum (2023)
Fayette County recorded 19.8 new HIV diagnoses per 100,000 (2023), against 10.4 statewide and 13.7 nationally. Among Fayette County residents living with HIV, 85.6% are in care · 79.1% 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 Fayette 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 →
Richmond Road stretches southeast out of Bell Court past the old brick storefronts, and most of the clinics listed here sit within a fifteen-minute drive of that corridor. Close enough that a lunch break or an errand run can fold in a test without much rearranging. That convenience matters more than it might sound. Close to half of Lexington households rent rather than own, and at roughly $900 a month that rent eats a real share of a budget.
Meaning cost and time both factor into whether someone actually books an appointment. The city's workforce participation is strong, which translates to a lot of people keeping full schedules on weekdays; evening or Saturday slots at clinics along East New Circle Road or Winchester Road reach those residents without asking them to burn leave time. Nearly one in four households clears six figures, but that still leaves a wide middle of working adults for whom a sliding-scale or low-cost option isn't a minor detail. It's the deciding one.
Lexington's younger adult population (people in their late teens and twenties building new relationships while navigating college, first jobs, and shared apartments in neighborhoods like Kenwick or Meadows/Loudon) faces the highest rates of chlamydia and gonorrhea anywhere in the age spectrum. With an average household of nearly three people and well under half of adults married, sexual networks here are active and varied, which is exactly the context in which routine, low-fuss screening does its quiet, practical work.
Getting there
How residents reach STD testing in Lexington, KY
Walkability11.94 / 20 · Above average
Lexington scores 11.94/20 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.
Lexington sits in Fayette County. Local context that shapes where residents test:
Local landmarks
Pope Villa
Hunt-Morgan House
Henry Clay's Law Office
Mary Todd Lincoln House
John C. Breckinridge Memorial
Flight 5191 Memorial
Neighborhoods & communities
Meadows/Loudon
Kenwick
Castlewood
Meadow Park
Bell Court
Ashland Park
East End
Woodlands
Major routes
US 60 (Winchester Road)
KY 4 (East New Circle Road)
Richmond Road
East Main Street
Nearby cities & towns
STD testing near Lexington, KY
Just outside Lexington? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in Lexington, KY: screening, costs & privacy
Everything to know before you test in Fayette County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Kentucky law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
Who should test, and whenCDC 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 a Lexington-area provider.
What each STD test costsMedicare 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 Lexington 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 KentuckyMinor consent and partner treatment (EPT) under state law, plus how to test privately
Two things that actually depend on Kentucky 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 Kentucky, 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)
Kentucky 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.
