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Merkel Cell Virus Capsid Antibody Test

Florida 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?

$251

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $603 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 6 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$234$214 to $251
FacilityA hospital or hospital-owned outpatient department$603$288 to $933

How much rates vary

Facilitymedian $603 · 10th to 90th $257 to $1,585Professionalmedian $234 · 10th to 90th $214 to $263
$200$500$1Kfacility $603professional $234

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
$257.04
Median
$891.25
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$234.42
Typical High
$263.03
AvMed
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
AvMed
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$371.54
Typical High
$489.78
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$288.40
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$151.36
Typical High
$354.81
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$323.59

Where Florida 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.

Florida· 45th of 51

$251

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.