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Enterovirus Genetic Detection Test

Florida 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?

$31.62

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $31.62 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $100 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 8 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$24.55 to $33.11
FacilityA hospital or hospital-owned outpatient department$100$50.12 to $138

How much rates vary

Facilitymedian $100 · 10th to 90th $32 to $191Professionalmedian $30 · 10th to 90th $21 to $43
$10$20$50$100$200facility $100professional $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
$31.62
Median
$104.71
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$30.20
Typical High
$40.74
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
AvMed
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$35.48
Typical High
$41.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$35.48
Typical High
$42.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$42.66
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$30.20
Typical High
$70.79
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$35.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$22.91
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$31.62
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$17.78
Typical High
$48.98
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$35.48

Where Florida 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.

Florida· 39th of 51

$31.62

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.