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Enterovirus Genetic Detection Test

Michigan 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?

$33.11

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $33.11 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $33.11 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 8 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$30.20$26.30 to $33.11
FacilityA hospital or hospital-owned outpatient department$33.11$33.11 to $45.71

How much rates vary

Facilitymedian $33 · 10th to 90th $30 to $62Professionalmedian $30 · 10th to 90th $21 to $42
$20$50facility $33professional $30

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
$30.20
Median
$33.11
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$31.62
Typical High
$40.74
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$39.81
Typical High
$69.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$26.30
Typical High
$26.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
CareSource
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$38.90
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$28.84
Typical High
$53.70
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$117.49
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$46.77
Typical High
$63.10
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$42.66
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$28.84
Typical High
$47.86

Where Michigan 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.

Michigan· 37th of 51

$33.11

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.