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Merkel Cell Virus Capsid Antibody Test

Colorado rates for HCPCS 0059U

Used in connection with Merkel cell carcinoma, a skin cancer linked to Merkel cell polyomavirus. It looks in blood serum for the antibody response to the virus's VP1 capsid protein — the coat around the virus — and reports simply whether it is present.

Rates data updated July 2026.

How much does Merkel Cell Virus Capsid Antibody Test cost?

$302

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $891 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$245$240 to $275
FacilityA hospital or hospital-owned outpatient department$891$490 to $1,349

How much rates vary

Facilitymedian $891 · 10th to 90th $324 to $1,622Professionalmedian $245 · 10th to 90th $135 to $302
$10$50$200$1Kfacility $891professional $245

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$707.95
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$251.19
Typical High
$302.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$954.99
Typical High
$1,621.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$134.90
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$229.09
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$371.54
Typical High
$467.74
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$457.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Select Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$602.56
Typical High
$676.08
Select Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$323.59
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$151.36
Typical High
$302.00

Where Colorado sits

The same service costs 2.6 times more in Hawaii than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Colorado· 24th of 51

$302

HI $562GA $214

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.