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Herpes Virus Viral Load Test

Virginia 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?

$42.66

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $57.54 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$23.99 to $44.67
FacilityA hospital or hospital-owned outpatient department$57.54$42.66 to $110

How much rates vary

Facilitymedian $58 · 10th to 90th $41 to $204Professionalmedian $34 · 10th to 90th $21 to $110
$10.0$100.0$1.0K$10.0Kfacility $58professional $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
$40.74
Median
$89.13
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$40.74
Typical High
$117.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$35.48
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$120.23
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$109.65
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$31.62
Typical High
$89.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$51.29
Typical High
$60.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$69.18
Typical High
$107.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$89.13
Sentara
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$56.23
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$56.23
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$42.66
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$23.44
Typical High
$46.77

Where Virginia 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.

Virginia $42.66 · 36th 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.