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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.

How much does Enterovirus Genetic Detection Test cost?

$35.48

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $29.51 from a physician practice, and about $61.66 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 9 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$29.51$21.88 to $47.86
FacilityA hospital or hospital-owned outpatient department$61.66$35.48 to $87.10

How much rates vary

Facilitymedian $62 · 10th to 90th $27 to $105Professionalmedian $30 · 10th to 90th $17 to $81
$20$50$100$200facility $62professional $30

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
$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

Where New York sits

The same service costs 3.2 times more in Alaska than in Vermont. 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· 32nd of 51

$35.48

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.