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Genetic Test for Herpes Simplex Virus

Vermont 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?

$24.55

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $178 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 5 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$24.55$22.91 to $38.90
FacilityA hospital or hospital-owned outpatient department$178$112 to $324

How much rates vary

Facilitymedian $178 · 10th to 90th $59 to $447Professionalmedian $25 · 10th to 90th $19 to $46
$20$50$100$200$500facility $178professional $25

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$24.55
Typical High
$45.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$177.83
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$52.48
Typical High
$87.10
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$48.98
Typical High
$95.50

Where Vermont 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.

Vermont· 51st of 51

$24.55

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.