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Merkel Cell Virus Capsid Antibody Test

South Dakota 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?

$537

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $617 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 6 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$372$251 to $759
FacilityA hospital or hospital-owned outpatient department$617$617 to $617

How much rates vary

Facilitymedian $617 · 10th to 90th $363 to $617Professionalmedian $372 · 10th to 90th $219 to $776
$200$500$1Kfacility $617professional $372

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
$223.87
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$251.19
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$776.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$1,548.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$389.05
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$891.25
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
$194.98
Typical High
$426.58
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59

Where South Dakota 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.

South Dakota· 2nd of 51

$537

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.