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Enterovirus Genetic Detection Test

Georgia 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 October 2026.

How much does Enterovirus Genetic Detection Test cost?

$31.62

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $31.62 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $46.77 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$27.54$17.38 to $40.74
FacilityA hospital or hospital-owned outpatient department$46.77$34.67 to $69.18

How much rates vary

Facilitymedian $47 · 10th to 90th $27 to $120Professionalmedian $28 · 10th to 90th $13 to $69
$10$20$50$100facility $47professional $28

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$23.44
Typical High
$61.66
Aetna
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$27.54
Typical High
$33.88
Ambetter
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$17.38
Typical High
$21.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$41.69
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$27.54
Typical High
$66.07
CareSource
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$45.71
Typical High
$47.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$70.79
Typical High
$107.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$57.54
Typical High
$138.04
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$45.71
Typical High
$281.84
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$50.12
United
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$20.89
Typical High
$74.13

Where Georgia sits

The same service costs 3.0 times more in Alaska than in Maryland. 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.

Georgia· 35th of 51

$31.62

AK $79.43MD $26.30

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.