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Herpes Virus Viral Load Test

Rhode Island 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?

$44.67

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $40.74 from a physician practice, and about $129 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 4 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$40.74$32.36 to $44.67
FacilityA hospital or hospital-owned outpatient department$129$58.88 to $245

How much rates vary

Facilitymedian $129 · 10th to 90th $51 to $275Professionalmedian $41 · 10th to 90th $32 to $60
$20.0$50.0$100.0$200.0facility $129professional $41

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
$70.79
Median
$173.78
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$44.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$52.48
Typical High
$87.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$131.83
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$33.11
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$42.66
Typical High
$85.11

Where Rhode Island 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.

Rhode Island $44.67 · 26th 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.