go back

Genetic Test for Herpes Simplex Virus

Iowa 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?

$66.07

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $85.11 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$50.12$30.20 to $91.20
FacilityA hospital or hospital-owned outpatient department$85.11$53.70 to $155

How much rates vary

Facilitymedian $85 · 10th to 90th $35 to $380Professionalmedian $50 · 10th to 90th $23 to $209
$5$10$20$50$100$200$500facility $85professional $50

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
$93.33
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$45.71
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$66.07
Typical High
$83.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$87.10
Typical High
$158.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$52.48
Typical High
$128.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$45.71
Typical High
$323.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$46.77
Typical High
$46.77
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$31.62
Typical High
$100.00
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48

Where Iowa 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.

Iowa· 10th of 51

$66.07

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.