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Genetic Test for Herpes Simplex Virus

Kentucky 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?

$32.36

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $66.07 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$28.18$17.38 to $42.66
FacilityA hospital or hospital-owned outpatient department$66.07$37.15 to $151

How much rates vary

Facilitymedian $66 · 10th to 90th $29 to $347Professionalmedian $28 · 10th to 90th $17 to $58
$20$50$100$200$500$1Kfacility $66professional $28

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
$28.84
Median
$85.11
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$32.36
Typical High
$58.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$23.99
Typical High
$35.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$35.48
Typical High
$37.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$48.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$48.98
Typical High
$66.07
CareSource
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$45.71
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$51.29
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$77.62
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$35.48
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$29.51
Typical High
$48.98

Where Kentucky 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.

Kentucky· 47th of 51

$32.36

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.