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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 October 2026.

How much does Enterovirus Genetic Detection Test cost?

$28.18

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $28.18 for this service. Most negotiated rates run $17.78 to $43.65.

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.

How much rates vary

Facilitymedian $47 · 10th to 90th $34 to $234Professionalmedian $21 · 10th to 90th $14 to $48
$20$50$100$200facility $47professional $21

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
Professional
Modifier
None
Typical Low
$26.92
Median
$28.18
Typical High
$28.18
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$46.77
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$17.38
Typical High
$22.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$79.43
Cigna
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$35.48
Typical High
$52.48
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$35.48
Typical High
$61.66
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
United
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$21.38
Typical High
$61.66

Where Maine 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.

Maine· 46th of 51

$28.18

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.