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Enterovirus Genetic Detection Test

Maine 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 Maine, 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 $56.23 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$35.48$28.18 to $35.48
FacilityA hospital or hospital-owned outpatient department$56.23$35.48 to $162

How much rates vary

Facilitymedian $56 · 10th to 90th $35 to $263Professionalmedian $35 · 10th to 90th $21 to $42
$20$50$100$200facility $56professional $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
$56.23
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$28.18
Typical High
$40.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$245.47
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$19.95
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$35.48
Typical High
$57.54
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$41.69
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$331.13
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$35.48
Typical High
$38.90
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$61.66

Where Maine 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.

Maine· 31st 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.