go back

Genetic Test for Herpes Simplex Virus

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $70.79 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$35.48$28.18 to $35.48
FacilityA hospital or hospital-owned outpatient department$70.79$35.48 to $148

How much rates vary

Facilitymedian $71 · 10th to 90th $35 to $245Professionalmedian $35 · 10th to 90th $21 to $43
$20$50$100$200facility $71professional $35

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
$28.18
Median
$66.07
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$28.18
Typical High
$45.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$245.47
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$19.95
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$35.48
Typical High
$52.48
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$41.69
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$56.23
Typical High
$281.84
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$35.48
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$66.07

Where Maine 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.

Maine· 41st 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.