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Genetic Test for Herpes Simplex Virus

Connecticut rates for HCPCS 87529

A laboratory test that detects genetic material from herpes simplex virus, using a technique that amplifies small amounts of viral genetic material so the test can find even a low level of the virus. A sample is typically collected by swabbing an active sore or blister, or occasionally from another affected site. This approach can identify an active herpes infection more sensitively than older culture-based methods.

Rates data updated July 2026.

How much does Genetic Test for Herpes Simplex Virus cost?

$48.98

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $38.90 from a physician practice, and about $63.10 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$38.90$26.30 to $105
FacilityA hospital or hospital-owned outpatient department$63.10$46.77 to $102

How much rates vary

Facilitymedian $63 · 10th to 90th $35 to $148Professionalmedian $39 · 10th to 90th $23 to $129
$20$50$100$200facility $63professional $39

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
$35.48
Median
$64.57
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$40.74
Typical High
$194.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$54.95
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$45.71
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$70.79
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$38.02
Typical High
$81.28
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$46.77
Typical High
$75.86
Health New England
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$29.51
Typical High
$61.66

Where Connecticut sits

The same service costs 6.8 times more in West Virginia than in Vermont. 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.

Connecticut· 17th of 51

$48.98

WV $166VT $24.55

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.