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Herpes Virus Viral Load Test

Massachusetts 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?

$42.66

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $105 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 8 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$42.66$42.66 to $60.26
FacilityA hospital or hospital-owned outpatient department$105$61.66 to $132

How much rates vary

Facilitymedian $105 · 10th to 90th $41 to $209Professionalmedian $43 · 10th to 90th $35 to $129
$100.0$1.0K$10.0Kfacility $105professional $43

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
$40.74
Median
$97.72
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$42.66
Typical High
$190.55
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$60.26
Typical High
$147.91
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$46.77
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$104.71
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$69.18
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$51.29
Typical High
$112.20
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$426.58
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$61.66
Typical High
$72.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$83.18
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$60.26
Typical High
$147.91
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$46.77
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$42.66
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$42.66
Typical High
$97.72

Where Massachusetts 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.

Massachusetts $42.66 · 28th 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.