Herpes simplex antibody test

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Herpes Simplex Antibody

Payers reporting CPT 86694

Payer pricing summary

Low

Average

$64

Median

$48

High

$324

Payer rate distribution

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#
1	Anthem fee schedule · outpatient · +24 other terms	219	$16	$22	$24	113%	47–344	$2 – $288
2	Aetna fee schedule · outpatient · +31 other terms	736	$18	$56	$292	521%	35–350	$0 – $8.4k
3	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	554	$23	$34	$34	100%	35–125	$1 – $325
4	UnitedHealthcare fee schedule · outpatient · +33 other terms	818	$14	$18	$21	114%	32–320	$1 – $479
5	Bcbs Al other · outpatient · +4 other terms	2	$22	$22	$10	45%	22	$12 – $32
6	Cigna fee schedule · outpatient · +25 other terms	507	$31	$37	$28	75%	6–60	$1 – $178
7	Optum fee schedule · outpatient · +20 other terms	70	$14	$21	$15	71%	5–50	$6 – $85
8	Humana fee schedule · outpatient · +26 other terms	545	$15	$31	$43	136%	4–40	$1 – $479
9	Molina fee schedule · outpatient · +29 other terms	304	$16	$17	$19	116%	4–40	$1 – $626
10	WellCare fee schedule · outpatient · +18 other terms	297	$15	$17	$8	47%	—	$12 – $96
11	Devoted fee schedule · outpatient · +15 other terms	185	$14	$15	$0	3%	—	$14 – $16
12	Oscar fee schedule · outpatient · +17 other terms	166	$28	$30	$10	34%	—	$14 – $44
13	Cigna Healthspring fee schedule · outpatient · +8 other terms	146	$15	$15	$2	14%	—	$9 – $25
14	Kaiser fee schedule · outpatient · +17 other terms	124	$14	$14	$13	93%	—	$2 – $201
15	Ambetter facility · fee schedule · outpatient · +20 other terms	121	$25	$25	$6	22%	—	$11 – $37
16	MultiPlan fee schedule · outpatient · +19 other terms	118	$77	$65	$77	118%	—	$1 – $400
17	Aetna Better Health fee schedule · outpatient · +18 other terms	105	$13	$14	$1	9%	—	$8 – $15
18	Caresource fee schedule · outpatient · +16 other terms	100	$16	$25	$23	91%	—	$1 – $130
19	Tricare facility · fee schedule · outpatient · +17 other terms	99	$14	$16	$13	80%	—	$6 – $85
20	Highmark facility · fee schedule · outpatient · +16 other terms	71	$25	$34	$27	80%	—	$10 – $130
21	First Health fee schedule · outpatient · +15 other terms	70	$14	$21	$24	116%	—	$5 – $126
22	Superior Healthplan fee schedule · outpatient · +6 other terms	63	$15	$56	$48	85%	—	$12 – $304
23	Medicare fee schedule · both · +13 other terms	51	$14	$15	$2	11%	—	$14 – $19
24	Medicaid facility · fee schedule · outpatient · +14 other terms	50	$15	$15	$4	24%	—	$10 – $34
25	Clover fee schedule · outpatient · +9 other terms	49	$15	$15	$0	2%	—	$14 – $15

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