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Merkel Cell Virus Capsid Antibody Test

Ohio 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?

$257

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $398 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 8 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$135$15.14 to $257
FacilityA hospital or hospital-owned outpatient department$398$324 to $617

How much rates vary

Facilitymedian $398 · 10th to 90th $269 to $776Professionalmedian $135 · 10th to 90th $7 to $468
$10$20$50$100$200$500$1Kfacility $398professional $135

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
$302.00
Median
$575.44
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$338.84
Typical High
$588.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$17.38
Typical High
$323.59
CareSource
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$371.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$5,011.87
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$416.87
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$467.74
Typical High
$1,548.82
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$426.58
Typical High
$1,318.26
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$223.87
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$338.84
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$323.59
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$354.81

Where Ohio 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.

Ohio· 43rd of 51

$257

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.