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Enterovirus Genetic Detection Test

Utah 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?

$57.54

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $34.67 from a physician practice, and about $245 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 6 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$34.67$29.51 to $40.74
FacilityA hospital or hospital-owned outpatient department$245$117 to $339

How much rates vary

Facilitymedian $245 · 10th to 90th $35 to $513Professionalmedian $35 · 10th to 90th $21 to $49
$20$50$100$200$500facility $245professional $35

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
$70.79
Median
$295.12
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$40.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$36.31
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$41.69
Typical High
$74.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$158.49
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$42.66
Select Health
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$30.90
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$48.98

Where Utah 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.

Utah· 2nd of 51

$57.54

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.