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Enterovirus Genetic Detection Test

Massachusetts 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?

$35.48

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $85.11 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 9 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$35.48$29.51 to $40.74
FacilityA hospital or hospital-owned outpatient department$85.11$50.12 to $110

How much rates vary

Facilitymedian $85 · 10th to 90th $35 to $219Professionalmedian $35 · 10th to 90th $22 to $87
$20$50$100$200$500$1K$2Kfacility $85professional $35

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
$35.48
Median
$81.28
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$28.18
Typical High
$104.71
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$48.98
Typical High
$114.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$56.23
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$42.66
Typical High
$91.20
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$208.93
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$50.12
Typical High
$58.88
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$69.18
Health New England
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$48.98
Typical High
$114.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$35.48
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$79.43

Where Massachusetts 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.

Massachusetts· 33rd of 51

$35.48

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.