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Genetic Test for Herpes Simplex Virus

Georgia 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?

$35.48

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $46.77 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$31.62$23.44 to $45.71
FacilityA hospital or hospital-owned outpatient department$46.77$34.67 to $107

How much rates vary

Facilitymedian $47 · 10th to 90th $23 to $229Professionalmedian $32 · 10th to 90th $17 to $78
$20$50$100$200facility $47professional $32

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
$66.07
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$32.36
Typical High
$85.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$45.71
Typical High
$63.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$24.55
Typical High
$50.12
CareSource
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
CareSource
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$45.71
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$66.07
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$42.66
Typical High
$91.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$45.71
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$31.62
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$64.57

Where Georgia 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.

Georgia· 37th of 51

$35.48

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.