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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 October 2026.

How much does Enterovirus Genetic Detection Test cost?

$31.62

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $31.62 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $35.48 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.90$20.89 to $47.86
FacilityA hospital or hospital-owned outpatient department$35.48$21.88 to $79.43

How much rates vary

Facilitymedian $35 · 10th to 90th $22 to $107Professionalmedian $31 · 10th to 90th $17 to $79
$20$50$100$200facility $35professional $31

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
$26.30
Median
$33.11
Typical High
$125.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$26.30
Typical High
$31.62
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$91.20
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$34.67
Typical High
$100.00
CDPHP
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$91.20
Typical High
$380.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$57.54
Typical High
$128.82
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$35.48
Typical High
$79.43
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$29.51
Typical High
$46.77
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$33.11
Typical High
$39.81
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$13.80
Median
$46.77
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$40.74
Typical High
$72.44
United
Setting
Facility
Modifier
None
Typical Low
$31.62
Median
$35.48
Typical High
$43.65
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$20.89
Typical High
$54.95
Univera
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$21.88
Typical High
$89.13
Univera
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$33.11
Typical High
$38.90

Where New York 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 York· 34th of 51

$31.62

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.