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Enterovirus Genetic Detection Test

Colorado 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?

$46.77

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $93.33 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$26.92$24.55 to $35.48
FacilityA hospital or hospital-owned outpatient department$93.33$51.29 to $151

How much rates vary

Facilitymedian $93 · 10th to 90th $29 to $209Professionalmedian $27 · 10th to 90th $21 to $51
$20.0$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $93professional $27

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
$26.92
Median
$104.71
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$26.92
Typical High
$60.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$104.71
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$35.48
Typical High
$35.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$24.55
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$22.91
Typical High
$51.29
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$40.74
Typical High
$72.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$50.12
Typical High
$51.29
Select Health
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$64.57
Typical High
$74.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$35.48
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$38.90
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$19.95
Typical High
$24.55

Where Colorado sits

The same service costs 3.2 times more in Alaska than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $46.77 · 9th of 51
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.