Yes, $75 per swab. And yes, of course your doctor could do it for you and bill through your insurance if they are willing to do that. The outbreak on your rib should have ideally been swab tested. You know you are HSV 2 positive but you haven’t recognized an outbreak. Anything unusual from waist to mid thigh should probably be swab tested so you can start to recognize what is an outbreak and what is not. The test you want is called PCR. It is a swab test (not a blood test) and is available through the major labs Quest and LabCorp.