go back

Merkel Cell Virus Capsid Antibody Test

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $324 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 7 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$240$151 to $257
FacilityA hospital or hospital-owned outpatient department$324$324 to $676

How much rates vary

Facilitymedian $324 · 10th to 90th $302 to $1,259Professionalmedian $240 · 10th to 90th $6 to $302
$10$50$200$1Kfacility $324professional $240

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
$239.88
Median
$676.08
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$302.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$630.96
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$208.93
Typical High
$467.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$478.63
Medcost
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$263.03
Typical High
$478.63
Medcost
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$676.08
Sentara
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$288.40
Typical High
$436.52
Sentara
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$288.40
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$323.59
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$162.18
Typical High
$323.59

Where Virginia 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.

Virginia· 41st 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.