go back

Herpes Virus Viral Load Test

North Carolina 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?

$33.88

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $33.88 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $45.71 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 6 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$33.88$31.62 to $42.66
FacilityA hospital or hospital-owned outpatient department$45.71$37.15 to $93.33

How much rates vary

Facilitymedian $46 · 10th to 90th $34 to $135Professionalmedian $34 · 10th to 90th $28 to $63
$10.0$20.0$50.0$100.0$200.0facility $46professional $34

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
$33.88
Median
$38.02
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$33.88
Typical High
$56.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$102.33
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$38.02
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$93.33
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$31.62
Typical High
$72.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$58.88
Typical High
$104.71
Medcost
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$56.23
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$25.70
Typical High
$60.26
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$263.03
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$371.54
Typical High
$371.54

Where North Carolina 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.

North Carolina $33.88 · 48th 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.