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Herpes Virus Viral Load Test

Michigan 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?

$40.74

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $40.74 from a physician practice, and about $40.74 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$40.74$30.20 to $52.48
FacilityA hospital or hospital-owned outpatient department$40.74$40.74 to $51.29

How much rates vary

Facilitymedian $41 · 10th to 90th $39 to $74Professionalmedian $41 · 10th to 90th $29 to $66
$20$50$100facility $41professional $41

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
$40.74
Median
$40.74
Typical High
$63.10
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$20.42
Median
$20.42
Typical High
$31.62
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$8.13
Median
$8.13
Typical High
$12.59
Aetna
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$41.69
Typical High
$43.65
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$19.50
Median
$20.89
Typical High
$21.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$7.76
Median
$8.32
Typical High
$8.71
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$33.88
Typical High
$64.57
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$40.74
Typical High
$154.88
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$20.42
Median
$20.42
Typical High
$31.62
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$8.13
Median
$8.13
Typical High
$12.59
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$57.54
Typical High
$75.86
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Priority Health
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$33.11
Typical High
$60.26
United
Setting
Facility
Modifier
None
Typical Low
$25.70
Median
$38.90
Typical High
$51.29
United
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$35.48
Typical High
$60.26

Where Michigan 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.

Michigan· 34th of 51

$40.74

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.