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Merkel Cell Virus Capsid Antibody Test

Montana 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?

$407

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $447 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 5 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$407$324 to $490
FacilityA hospital or hospital-owned outpatient department$447$407 to $562

How much rates vary

Facilitymedian $447 · 10th to 90th $324 to $631Professionalmedian $407 · 10th to 90th $135 to $631
$100$200$500$1Kfacility $447professional $407

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
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$467.74
Typical High
$467.74
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$446.68
Typical High
$630.96
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$446.68
Typical High
$630.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$288.40
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$151.36
Typical High
$354.81

Where Montana 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.

Montana· 6th of 51

$407

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.