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Herpes Virus Viral Load Test

Ohio 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?

$39.81

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $60.26 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$33.88$27.54 to $42.66
FacilityA hospital or hospital-owned outpatient department$60.26$42.66 to $93.33

How much rates vary

Facilitymedian $60 · 10th to 90th $35 to $141Professionalmedian $34 · 10th to 90th $21 to $98
$10.0$20.0$50.0$100.0$200.0facility $60professional $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
$34.67
Median
$77.62
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$34.67
Typical High
$102.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$45.71
Typical High
$79.43
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$26.92
Typical High
$57.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
CareSource
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$56.23
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$38.90
Typical High
$107.15
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$61.66
Typical High
$251.19
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$38.02
Typical High
$85.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$38.90
Typical High
$46.77
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$51.29
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$42.66
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$25.70
Typical High
$64.57

Where Ohio 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.

Ohio $39.81 · 39th 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.