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Merkel Cell Virus Capsid Antibody Test

Pennsylvania 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?

$275

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $676 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$263$251 to $302
FacilityA hospital or hospital-owned outpatient department$676$389 to $813

How much rates vary

Facilitymedian $676 · 10th to 90th $275 to $1,148Professionalmedian $263 · 10th to 90th $195 to $324
$200$500$1Kfacility $676professional $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
$275.42
Median
$691.83
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$263.03
Typical High
$302.00
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$501.19
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$467.74
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$190.55
Typical High
$467.74
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$323.59
Typical High
$562.34
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$691.83
Typical High
$1,148.15
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$263.03
Typical High
$954.99
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$794.33
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$323.59
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$323.59
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$213.80
Typical High
$489.78

Where Pennsylvania 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.

Pennsylvania· 31st of 51

$275

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.