Cytomegalovirus DNA 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

HC CYTOMEGALOVIRUS DETECTION/PCR

Payers reporting CPT 87496

Payer pricing summary

Low

$22

Average

$145

Median

$111

High

$574

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +35 other terms	844	$35	$44	$48	109%	8–80	$1 – $772
2	Cigna fee schedule · outpatient · +26 other terms	529	$72	$97	$92	95%	7–70	$5 – $804
3	Blue Cross Blue Shield fee schedule · outpatient · +32 other terms	575	$56	$94	$98	104%	4–40	$0 – $792
4	Aetna fee schedule · outpatient · +34 other terms	775	$43	$131	$344	262%	2–20	$0 – $8.4k
5	Anthem fee schedule · outpatient · +28 other terms	238	$40	$61	$62	101%	2–20	$10 – $414
6	Molina fee schedule · outpatient · +30 other terms	318	$39	$43	$22	50%	1–10	$0 – $280
7	Caresource fee schedule · outpatient · +17 other terms	103	$36	$57	$72	126%	1–10	$1 – $388
8	Bcbs Al facility · other · outpatient · +5 other terms	4	$39	$41	$5	11%	1–10	$36 – $47
9	Humana fee schedule · outpatient · +28 other terms	565	$35	$83	$115	139%	—	$1 – $768
10	WellCare fee schedule · outpatient · +22 other terms	310	$36	$41	$26	63%	—	$18 – $351
11	Devoted fee schedule · outpatient · +16 other terms	187	$35	$35	$1	2%	—	$34 – $39
12	Oscar fee schedule · outpatient · +18 other terms	168	$68	$74	$25	34%	—	$24 – $107
13	Cigna Healthspring fee schedule · outpatient · +8 other terms	148	$35	$36	$4	12%	—	$21 – $60
14	Kaiser fee schedule · outpatient · +20 other terms	129	$36	$44	$26	58%	—	$5 – $297
15	Ambetter facility · fee schedule · outpatient · +20 other terms	126	$62	$66	$15	22%	—	$19 – $89
16	MultiPlan fee schedule · outpatient · +21 other terms	121	$187	$235	$245	104%	—	$31 – $891
17	Aetna Better Health fee schedule · outpatient · +17 other terms	119	$32	$36	$15	43%	—	$18 – $135
18	Tricare facility · fee schedule · outpatient · +17 other terms	113	$34	$38	$44	116%	—	$16 – $568
19	Highmark facility · fee schedule · outpatient · +18 other terms	78	$60	$119	$111	94%	—	$23 – $460
20	Optum fee schedule · outpatient · +21 other terms	76	$35	$84	$121	144%	—	$1 – $606
21	First Health fee schedule · outpatient · +18 other terms	74	$35	$86	$124	144%	—	$26 – $594
22	Superior Healthplan fee schedule · outpatient · +6 other terms	62	$37	$176	$175	99%	—	$29 – $704
23	Medicare fee schedule · both · +15 other terms	59	$35	$36	$3	8%	—	$35 – $47
24	Medicaid facility · fee schedule · outpatient · +16 other terms	58	$35	$37	$9	24%	—	$19 – $83
25	Amerihealth Caritas fee schedule · outpatient · +13 other terms	56	$38	$38	$9	23%	—	$5 – $56

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