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Merkel Cell Virus Capsid Antibody Test

Utah 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?

$309

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $1,738 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$288$251 to $324
FacilityA hospital or hospital-owned outpatient department$1,738$324 to $1,738

How much rates vary

Facilitymedian $1,738 · 10th to 90th $324 to $2,291Professionalmedian $288 · 10th to 90th $240 to $372
$200$500$1K$2Kfacility $1,738professional $288

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
$323.59
Median
$1,737.80
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$302.00
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$338.84
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$467.74
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$371.54
Typical High
$1,445.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$275.42
Typical High
$288.40
Select Health
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$323.59
Typical High
$416.87
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$281.84
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$151.36
Typical High
$354.81

Where Utah 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.

Utah· 23rd of 51

$309

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.