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Merkel Cell Virus Capsid Antibody Test

New York 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?

$263

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $575 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 9 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$195$14.13 to $263
FacilityA hospital or hospital-owned outpatient department$575$324 to $759

How much rates vary

Facilitymedian $575 · 10th to 90th $263 to $891Professionalmedian $195 · 10th to 90th $6 to $355
$10$20$50$100$200$500$1Kfacility $575professional $195

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
$251.19
Median
$575.44
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$831.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$489.78
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$691.83
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$1,548.82
Typical High
$1,548.82
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$537.03
Typical High
$1,230.27
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$630.96
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$363.08
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$602.56
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$354.81
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$467.74
Univera
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$323.59
Typical High
$371.54
Univera
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$371.54

Where New York 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 York· 36th of 51

$263

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.