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Herpes Virus Viral Load Test

Nebraska 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.

Facilitymedian $112 · 10th–90th $28$3550%10%10th90th$112Professionalmedian $35 · 10th–90th $26$2820%10%20%10th90th$35$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$177.83
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$35.48
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$309.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$66.07
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$87.10
Typical High
$102.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$85.11
Typical High
$263.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$25.70
Typical High
$354.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$25.70
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$25.70
Typical High
$85.11