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Merkel Cell Virus Capsid Antibody Test

Maine 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?

$324

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $324 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$263$209 to $324
FacilityA hospital or hospital-owned outpatient department$324$324 to $525

How much rates vary

Facilitymedian $324 · 10th to 90th $324 to $813Professionalmedian $263 · 10th to 90th $129 to $389
$10$20$50$100$200$500$1Kfacility $324professional $263

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
$323.59
Median
$323.59
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$263.03
Typical High
$263.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$371.54
Typical High
$1,122.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$144.54
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$467.74
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$389.05
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$812.83
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$263.03
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$630.96

Where Maine 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.

Maine· 16th of 51

$324

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.