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Rotavirus Antigen Detection Test

Arizona rates for HCPCS 87425

This laboratory test checks a stool sample for a specific viral protein to detect rotavirus, a common cause of diarrhea and vomiting, particularly in infants and young children. It gives a quick result rather than growing the virus in culture. It's typically ordered when a young child has symptoms suggesting a viral gut infection.

Rates data updated July 2026.

How much does Rotavirus Antigen Detection Test cost?

$13.80

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $24.55 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$9.55$7.94 to $52.48
FacilityA hospital or hospital-owned outpatient department$24.55$13.49 to $41.69

How much rates vary

Facilitymedian $25 · 10th to 90th $10 to $52Professionalmedian $10 · 10th to 90th $7 to $79
$10$20$50facility $25professional $10

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
$16.98
Median
$24.55
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.55
Typical High
$79.43
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$8.32
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$29.51
Typical High
$56.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.00
Typical High
$48.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$12.59
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.72
Typical High
$18.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$10.96
Typical High
$85.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$14.13
United
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$12.02
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$16.60

Where Arizona sits

The same service costs 3.2 times more in South Dakota than in Washington, DC. 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.

Arizona· 28th of 51

$13.80

SD $28.84DC $8.91

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.