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Genetic Test for Herpes Simplex Virus

West Virginia 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?

$166

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $245 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$28.84$26.30 to $33.11
FacilityA hospital or hospital-owned outpatient department$245$72.44 to $302

How much rates vary

Facilitymedian $245 · 10th to 90th $59 to $479Professionalmedian $29 · 10th to 90th $23 to $41
$20$50$100$200$500facility $245professional $29

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
$58.88
Median
$245.47
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$28.84
Typical High
$40.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
CareSource
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$41.69
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$51.29
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$234.42
Typical High
$234.42
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$151.36
Typical High
$354.81
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$20.89
Typical High
$48.98

Where West Virginia 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.

West Virginia· 1st of 51

$166

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.