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Genetic Test for Herpes Simplex Virus

Massachusetts 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.

Facilitymedian $123 · 10th–90th $49$4680%10%10th90th$123Professionalmedian $46 · 10th–90th $23$790%10%20%10th90th$46$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$147.91
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$48.98
Typical High
$79.43
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$48.98
Typical High
$114.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$40.74
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$60.26
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$38.02
Typical High
$95.50
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$346.74
Typical High
$8,511.38
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$58.88
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$69.18
Health New England
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$104.71
Typical High
$223.87
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$48.98
Typical High
$114.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$40.74
Typical High
$323.59
Tufts
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$35.48
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$72.44