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Enterovirus Genetic Detection Test

Montana 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?

$51.29

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $60.26 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$46.77$31.62 to $51.29
FacilityA hospital or hospital-owned outpatient department$60.26$52.48 to $70.79

How much rates vary

Facilitymedian $60 · 10th to 90th $47 to $81Professionalmedian $47 · 10th to 90th $15 to $60
$20$50$100$200facility $60professional $47

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
$40.74
Median
$40.74
Typical High
$40.74
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$269.15
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$52.48
Typical High
$199.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$60.26
Typical High
$81.28
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$60.26
Typical High
$64.57
Providence
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$52.48
Typical High
$199.53
Providence
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$31.62
Typical High
$51.29
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$14.79
Typical High
$35.48

Where Montana 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.

Montana· 5th of 51

$51.29

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.