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Genetic Test for Herpes Simplex Virus

Delaware 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 October 2026.

How much does Genetic Test for Herpes Simplex Virus cost?

$28.84

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $50.12 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$28.18$20.89 to $40.74
FacilityA hospital or hospital-owned outpatient department$50.12$28.84 to $93.33

How much rates vary

Facilitymedian $50 · 10th to 90th $26 to $234Professionalmedian $28 · 10th to 90th $16 to $66
$20$50$100$200facility $50professional $28

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$36.31
Typical High
$93.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$28.84
Typical High
$48.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$22.91
Median
$22.91
Typical High
$51.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$25.12
Typical High
$70.79
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$26.30
Median
$50.12
Typical High
$239.88
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$20.89
Typical High
$52.48
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Highmark BCBS
Setting
Professional
Modifier
59 · Distinct service
Typical Low
$26.30
Median
$26.30
Typical High
$26.30

Where Delaware sits

The same service costs 3.0 times more in Alaska than in Maryland. 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.

Delaware· 45th of 51

$28.84

AK $79.43MD $26.30

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.