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Enterovirus Genetic Detection Test

Kentucky 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?

$28.84

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $48.98 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 5 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$28.18$17.38 to $37.15
FacilityA hospital or hospital-owned outpatient department$48.98$28.84 to $263

How much rates vary

Facilitymedian $49 · 10th to 90th $29 to $331Professionalmedian $28 · 10th to 90th $17 to $54
$20$50$100$200facility $49professional $28

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
$28.84
Median
$85.11
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$28.84
Typical High
$85.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$35.48
Typical High
$37.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$37.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$48.98
Typical High
$66.07
CareSource
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$45.71
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$75.86
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$77.62
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$35.48
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$29.51
Typical High
$48.98

Where Kentucky 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.

Kentucky· 46th of 51

$28.84

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.