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Genetic Test for Herpes Simplex Virus

South 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?

$43.65

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $138 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$30.20$27.54 to $42.66
FacilityA hospital or hospital-owned outpatient department$138$60.26 to $251

How much rates vary

Facilitymedian $138 · 10th to 90th $28 to $589Professionalmedian $30 · 10th to 90th $27 to $74
$20$50$100$200$500facility $138professional $30

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
$27.54
Median
$165.96
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.84
Typical High
$66.07
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$35.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$162.18
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$48.98
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$114.82
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$22.91
Typical High
$52.48
Medcost
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$40.74
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$35.48
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$66.07

Where South 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.

South Carolina· 22nd of 51

$43.65

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.