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Rotavirus Antigen Detection Test

Iowa 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?

$28.18

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $26.92 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 7 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$52.48$9.12 to $57.54
FacilityA hospital or hospital-owned outpatient department$26.92$14.45 to $34.67

How much rates vary

Facilitymedian $27 · 10th to 90th $12 to $78Professionalmedian $52 · 10th to 90th $8 to $79
$10$20$50$100facility $27professional $52

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
$9.12
Median
$28.18
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$56.23
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$22.91
Typical High
$28.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$21.88
Typical High
$83.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$15.49
Typical High
$37.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$14.45
Typical High
$31.62
Midlands
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.85
Typical High
$15.85
Midlands
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$10.00
Typical High
$30.20
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$12.02
Typical High
$12.02

Where Iowa 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.

Iowa· 2nd of 51

$28.18

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.