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Genetic Test for Herpes Simplex Virus

Florida 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?

$38.90

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $75.86 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 8 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$30.90$24.55 to $40.74
FacilityA hospital or hospital-owned outpatient department$75.86$41.69 to $132

How much rates vary

Facilitymedian $76 · 10th to 90th $25 to $339Professionalmedian $31 · 10th to 90th $23 to $76
$5$10$20$50$100$200$500facility $76professional $31

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
$23.44
Median
$83.18
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$31.62
Typical High
$81.28
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$17.38
Typical High
$47.86
AvMed
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$35.48
Typical High
$41.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$35.48
Typical High
$42.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$42.66
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$30.20
Typical High
$70.79
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$64.57
Typical High
$64.57
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$34.67
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$20.89
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$31.62
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$19.50
Typical High
$79.43
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$35.48

Where Florida 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.

Florida· 31st of 51

$38.90

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.