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Enterovirus Genetic Detection Test

Virginia 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?

$28.18

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $57.54 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$24.55$17.38 to $34.67
FacilityA hospital or hospital-owned outpatient department$57.54$35.48 to $91.20

How much rates vary

Facilitymedian $58 · 10th to 90th $35 to $174Professionalmedian $25 · 10th to 90th $17 to $58
$10$100$1K$10Kfacility $58professional $25

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
$48.98
Typical High
$91.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$26.30
Typical High
$33.11
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$17.38
Typical High
$26.30
CareFirst
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$28.18
Typical High
$43.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$83.18
Typical High
$138.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$28.84
Typical High
$67.61
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$38.90
Typical High
$52.48
Medcost
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Medcost
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$72.44
Typical High
$72.44
Medcost
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$63.10
Sentara
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$57.54
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$50.12
Typical High
$4,570.88
United
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$20.89
Typical High
$56.23

Where Virginia 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.

Virginia· 44th of 51

$28.18

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.