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Enterovirus Genetic Detection Test

Iowa 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 Iowa, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $67.61 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$33.88$26.92 to $66.07
FacilityA hospital or hospital-owned outpatient department$67.61$35.48 to $97.72

How much rates vary

Facilitymedian $68 · 10th to 90th $33 to $148Professionalmedian $34 · 10th to 90th $23 to $229
$20$50$100$200facility $68professional $34

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
$83.18
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$30.20
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$66.07
Typical High
$83.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$87.10
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$46.77
Typical High
$107.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$45.71
Typical High
$288.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$46.77
Typical High
$46.77
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$38.02
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$29.51
Typical High
$97.72
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48

Where Iowa 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.

Iowa· 20th 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.