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Enterovirus Genetic Detection Test

New York 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 $62 · 10th–90th $27$1050%10%20%10th90th$62Professionalmedian $30 · 10th–90th $17$810%10%20%10th90th$30$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
$28.18
Median
$63.10
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$29.51
Typical High
$63.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$91.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$91.20
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$35.48
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$35.48
Typical High
$35.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$91.20
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$52.48
Typical High
$169.82
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$40.74
Typical High
$89.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$28.84
Typical High
$66.07
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$33.11
Typical High
$57.54
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$66.07
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$42.66
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$31.62
Typical High
$85.11
Univera
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$25.70
Typical High
$85.11
Univera
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$35.48
Typical High
$109.65