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Herpes Virus Viral Load Test

Maine 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 October 2026.

How much does Herpes Virus Viral Load Test cost?

$34.67

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $56.23 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$25.70$21.38 to $34.67
FacilityA hospital or hospital-owned outpatient department$56.23$42.66 to $63.10

How much rates vary

Facilitymedian $56 · 10th to 90th $42 to $355Professionalmedian $26 · 10th to 90th $17 to $60
$20$50$100$200$500facility $56professional $26

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$57.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$34.67
Typical High
$34.67
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$56.23
Typical High
$380.19
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$21.38
Typical High
$27.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$97.72
Typical High
$97.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$43.65
Typical High
$64.57
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$42.66
Typical High
$102.33
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$57.54
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
United
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$34.67
Typical High
$102.33

Where Maine sits

The same service costs 3.3 times more in Alaska than in Delaware. 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.

Maine· 43rd of 51

$34.67

AK $95.50DE $28.84

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.