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Enterovirus Genetic Detection Test

Missouri 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?

$33.88

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $33.88 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $61.66 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.20$23.44 to $56.23
FacilityA hospital or hospital-owned outpatient department$61.66$46.77 to $95.50

How much rates vary

Facilitymedian $62 · 10th to 90th $35 to $166Professionalmedian $30 · 10th to 90th $17 to $151
$20$50$100$200facility $62professional $30

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
Facility
Modifier
None
Typical Low
$29.51
Median
$45.71
Typical High
$64.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$30.90
Typical High
$40.74
Ambetter
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$14.79
Typical High
$17.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$29.51
Typical High
$67.61
BCBS Kansas City
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$56.23
Typical High
$107.15
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$47.86
Typical High
$66.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$77.62
Typical High
$199.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$33.11
Typical High
$66.07
Medica
Setting
Facility
Modifier
None
Typical Low
$31.62
Median
$61.66
Typical High
$165.96
Medica
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$45.71
Typical High
$288.40
United
Setting
Facility
Modifier
None
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$20.89
Typical High
$46.77

Where Missouri 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.

Missouri· 31st of 51

$33.88

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.