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Herpes Virus Viral Load Test

Kentucky rates for HCPCS 87530

This laboratory test measures the amount of herpes simplex virus genetic material present in a patient sample, giving a numeric viral load rather than just a positive or negative result. It's used to track how active an infection is or to monitor how well treatment is working, particularly in people with severe or recurrent outbreaks or a weakened immune system. The test uses a gene-based amplification method for high sensitivity.

Rates data updated July 2026.

How much does Herpes Virus Viral Load Test cost?

$35.48

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $53.70 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$35.48$33.88 to $42.66
FacilityA hospital or hospital-owned outpatient department$53.70$35.48 to $89.13

How much rates vary

Facilitymedian $54 · 10th to 90th $35 to $107Professionalmedian $35 · 10th to 90th $30 to $79
$20.0$50.0$100.0$200.0facility $54professional $35

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
$35.48
Median
$54.95
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$36.31
Typical High
$190.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$42.66
Typical High
$44.67
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$35.48
Typical High
$58.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$81.28
CareSource
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$56.23
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$63.10
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$95.50
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$42.66
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$36.31
Typical High
$60.26

Where Kentucky sits

The same service costs 3.0 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $35.48 · 45th of 51
AK $95.50DC $32.36

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.