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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 October 2026.

How much does Genetic Test for Herpes Simplex Virus cost?

$63.10

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $245 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$45.71$35.48 to $51.29
FacilityA hospital or hospital-owned outpatient department$245$63.10 to $257

How much rates vary

Facilitymedian $245 · 10th to 90th $63 to $257Professionalmedian $46 · 10th to 90th $21 to $87
$20$50$100$200$500facility $245professional $46

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$63.10
Median
$245.47
Typical High
$257.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$45.71
Typical High
$45.71
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$177.83
Typical High
$467.74
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$112.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$52.48
Typical High
$87.10
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$47.86
Typical High
$47.86
United
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$40.74
Typical High
$95.50

Where Vermont sits

The same service costs 3.0 times more in Alaska than in Maryland. 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· 3rd of 51

$63.10

AK $79.43MD $26.30

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.