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Enterovirus Genetic Detection Test

New Jersey 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?

$26.30

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $72.44 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$24.55$24.55 to $28.84
FacilityA hospital or hospital-owned outpatient department$72.44$31.62 to $120

How much rates vary

Facilitymedian $72 · 10th to 90th $32 to $170Professionalmedian $25 · 10th to 90th $20 to $46
$20$50$100$200facility $72professional $25

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
$26.92
Median
$31.62
Typical High
$52.48
Aetna
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$26.92
Typical High
$31.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$97.72
Typical High
$169.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$44.67
Typical High
$97.72
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$45.71
Typical High
$51.29
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$151.36
Typical High
$281.84
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
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
$35.48

Where New Jersey 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.

New Jersey· 50th of 51

$26.30

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.