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Genetic Test for Herpes Simplex Virus

North Carolina 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?

$57.54

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $38.90 from a physician practice, and about $110 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$38.90$28.18 to $53.70
FacilityA hospital or hospital-owned outpatient department$110$52.48 to $158

How much rates vary

Facilitymedian $110 · 10th to 90th $30 to $234Professionalmedian $39 · 10th to 90th $25 to $100
$20$50$100$200facility $110professional $39

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
$30.20
Median
$112.20
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$41.69
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$23.44
Typical High
$48.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$104.71
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$31.62
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$75.86
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$25.70
Typical High
$58.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$46.77
Typical High
$85.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$45.71
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$54.95
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$204.17
Typical High
$204.17
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59

Where North Carolina 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.

North Carolina· 12th of 51

$57.54

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.