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Enterovirus Genetic Detection Test

Indiana 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?

$28.84

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $35.48 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$26.92$17.38 to $35.48
FacilityA hospital or hospital-owned outpatient department$35.48$34.67 to $77.62

How much rates vary

Facilitymedian $35 · 10th to 90th $28 to $117Professionalmedian $27 · 10th to 90th $17 to $63
$20$50$100$200$500$1K$2Kfacility $35professional $27

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
$28.84
Median
$42.66
Typical High
$128.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$28.84
Typical High
$58.88
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$35.48
Typical High
$104.71
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$17.38
Typical High
$52.48
CareSource
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$38.90
Typical High
$48.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$57.54
Typical High
$117.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$35.48
Typical High
$75.86
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$87.10
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$29.51
Typical High
$53.70
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$28.18
Typical High
$43.65

Where Indiana 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.

Indiana· 43rd of 51

$28.84

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.