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Merkel Cell Virus Capsid Antibody Test

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $257 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 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$257$214 to $295
FacilityA hospital or hospital-owned outpatient department$603$427 to $1,622

How much rates vary

Facilitymedian $603 · 10th to 90th $324 to $3,548Professionalmedian $257 · 10th to 90th $191 to $372
$200$500$1K$2K$5K$10K$20Kfacility $603professional $257

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
$416.87
Median
$478.63
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$257.04
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$707.95
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$371.54
Typical High
$489.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$151.36
Typical High
$190.55
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$208.93
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$323.59
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$194.98
Typical High
$354.81

Where New Jersey 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.

New Jersey· 25th 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.