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Enterovirus Genetic Detection Test

Kansas 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?

$50.12

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $72.44 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 6 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$26.30 to $52.48
FacilityA hospital or hospital-owned outpatient department$72.44$47.86 to $83.18

How much rates vary

Facilitymedian $72 · 10th to 90th $35 to $132Professionalmedian $34 · 10th to 90th $23 to $52
$20$50$100$200facility $72professional $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
$36.31
Median
$75.86
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$30.20
Typical High
$37.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$17.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$72.44
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$61.66
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$33.88
Typical High
$85.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$45.71
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$23.44
Typical High
$56.23

Where Kansas 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.

Kansas· 7th of 51

$50.12

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.