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Enterovirus Genetic Detection Test

Rhode Island 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?

$36.31

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $105 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 4 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$26.30$24.55 to $36.31
FacilityA hospital or hospital-owned outpatient department$105$47.86 to $200

How much rates vary

Facilitymedian $105 · 10th to 90th $42 to $224Professionalmedian $26 · 10th to 90th $25 to $49
$20$50$100$200facility $105professional $26

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
$104.71
Median
$141.25
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$36.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$42.66
Typical High
$47.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$27.54
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$29.51
Typical High
$69.18

Where Rhode Island 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.

Rhode Island· 27th of 51

$36.31

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.