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Enterovirus Genetic Detection Test

Tennessee 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?

$30.90

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $53.70 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 5 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$28.18$26.30 to $40.74
FacilityA hospital or hospital-owned outpatient department$53.70$33.11 to $126

How much rates vary

Facilitymedian $54 · 10th to 90th $26 to $151Professionalmedian $28 · 10th to 90th $23 to $52
$10$20$50$100$200facility $54professional $28

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
$26.30
Median
$79.43
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$27.54
Typical High
$51.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$38.90
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$83.18
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$23.44
Typical High
$66.07
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$35.48
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$25.12
Typical High
$50.12

Where Tennessee 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.

Tennessee· 42nd of 51

$30.90

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.