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Genetic Test for Herpes Simplex Virus

Montana 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?

$45.71

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $40.74 from a physician practice, and about $69.18 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$40.74$31.62 to $51.29
FacilityA hospital or hospital-owned outpatient department$69.18$46.77 to $135

How much rates vary

Facilitymedian $69 · 10th to 90th $44 to $347Professionalmedian $41 · 10th to 90th $25 to $100
$100$1K$10K$100Kfacility $69professional $41

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
$52.48
Median
$158.49
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$40.74
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$77,624.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$60.26
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$51.29
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$50.12
Typical High
$109.65
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$50.12
Typical High
$109.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$70.79
Typical High
$199.53
Providence
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$19.95
Typical High
$48.98

Where Montana 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.

Montana· 18th of 51

$45.71

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.