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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.

Facilitymedian $100 · 10th–90th $41$4170%10%20%10th90th$100Professionalmedian $28 · 10th–90th $21$630%20%40%10th90th$28$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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