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Genetic Test for Herpes Simplex Virus

Missouri 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?

$60.26

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $79.43 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$45.71$29.51 to $72.44
FacilityA hospital or hospital-owned outpatient department$79.43$46.77 to $129

How much rates vary

Facilitymedian $79 · 10th to 90th $35 to $224Professionalmedian $46 · 10th to 90th $18 to $93
$20$50$100$200facility $79professional $46

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
$38.90
Median
$81.28
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$47.86
Typical High
$93.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$35.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$32.36
Typical High
$85.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$57.54
Typical High
$74.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$35.48
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$25.12
Typical High
$162.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$57.54
Typical High
$204.17
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$28.84
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$35.48
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$25.12
Typical High
$60.26

Where Missouri 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.

Missouri· 11th of 51

$60.26

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.