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Enterovirus Genetic Detection Test

Arkansas rates for HCPCS 87498

This laboratory test detects genetic material from enterovirus, a group of viruses that can cause illnesses ranging from mild colds to more serious infections of the brain or spinal cord lining. It uses a technique that amplifies tiny amounts of viral genetic material so even a small infection can be detected. A sample such as spinal fluid, blood, or a swab is tested.

Rates data updated July 2026.

How much does Enterovirus Genetic Detection Test cost?

$40.74

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $54.95 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 7 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$30.20$26.92 to $54.95
FacilityA hospital or hospital-owned outpatient department$54.95$39.81 to $61.66

How much rates vary

Facilitymedian $55 · 10th to 90th $40 to $76Professionalmedian $30 · 10th to 90th $23 to $66
$20$50$100facility $55professional $30

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
$54.95
Median
$54.95
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.88
Typical High
$66.07
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$35.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$54.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$43.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$48.98
CareSource
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$35.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$46.77
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$40.74
Typical High
$61.66
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$35.48
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$22.91
Typical High
$66.07

Where Arkansas sits

The same service costs 3.2 times more in Alaska than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arkansas· 21st of 51

$40.74

AK $79.43VT $24.55

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.