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Rotavirus Antigen Detection Test

Idaho 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?

$14.45

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $27.54 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$12.02$11.22 to $23.44
FacilityA hospital or hospital-owned outpatient department$27.54$15.49 to $39.81

How much rates vary

Facilitymedian $28 · 10th to 90th $12 to $59Professionalmedian $12 · 10th to 90th $8 to $23
$10$20$50facility $28professional $12

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
$27.54
Median
$30.90
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$13.80
Typical High
$23.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$33.88
Typical High
$58.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.02
Typical High
$16.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$25.12
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$8.91
Typical High
$16.98
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$16.60
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$14.45
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$23.99
Typical High
$42.66
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$10.23
Typical High
$12.59
Select Health
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$29.51
Select Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$19.95

Where Idaho 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.

Idaho· 24th of 51

$14.45

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.