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Enterovirus Genetic Detection Test

North Carolina 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?

$30.90

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $38.02 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$28.18$28.18 to $38.90
FacilityA hospital or hospital-owned outpatient department$38.02$29.51 to $107

How much rates vary

Facilitymedian $38 · 10th to 90th $28 to $107Professionalmedian $28 · 10th to 90th $23 to $48
$20$50$100$200$500facility $38professional $28

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
$28.18
Median
$33.88
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$28.18
Typical High
$46.77
BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$74.13
Typical High
$87.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$31.62
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$75.86
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$23.44
Typical High
$58.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$41.69
Typical High
$81.28
Medcost
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$45.71
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$48.98
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$309.03
Typical High
$309.03

Where North Carolina 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.

North Carolina· 41st of 51

$30.90

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.