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Genetic Test for Herpes Simplex Virus

Indiana 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 Indiana, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $58.88 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$28.84$23.99 to $32.36
FacilityA hospital or hospital-owned outpatient department$58.88$35.48 to $115

How much rates vary

Facilitymedian $59 · 10th to 90th $35 to $229Professionalmedian $29 · 10th to 90th $17 to $48
$20$50$100$200facility $59professional $29

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
$34.67
Median
$89.13
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$28.84
Typical High
$47.86
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$35.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$104.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$17.38
Typical High
$35.48
CareSource
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$35.48
Typical High
$48.98
CareSource
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$40.74
Typical High
$48.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$35.48
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$28.84
Typical High
$64.57

Where Indiana 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.

Indiana· 38th 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.