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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 July 2026.

How much does Enterovirus Genetic Detection Test cost?

$37.15

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $37.15 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $100 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 5 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$26.30 to $40.74
FacilityA hospital or hospital-owned outpatient department$100$66.07 to $219

How much rates vary

Facilitymedian $100 · 10th to 90th $41 to $417Professionalmedian $28 · 10th to 90th $21 to $63
$10.0$100.0$1.0K$10.0K$100.0Kfacility $100professional $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
$44.67
Median
$100.00
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$28.18
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$77.62
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$34.67
Typical High
$83.18
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$39.81
Typical High
$66.07
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$35.48
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$50.12

Where New Jersey sits

The same service costs 3.2 times more in Alaska than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $37.15 · 26th of 51
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.