go back

Rotavirus Antigen Detection Test

Illinois 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?

$15.14

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $9.33 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$9.33$7.76 to $12.30
FacilityA hospital or hospital-owned outpatient department$26.92$17.38 to $120

How much rates vary

Facilitymedian $27 · 10th to 90th $12 to $166Professionalmedian $9 · 10th to 90th $3 to $25
$5$10$20$50$100$200facility $27professional $9

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
$11.75
Median
$27.54
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$10.23
Typical High
$24.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$32.36
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$8.32
Typical High
$9.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$27.54
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$13.80
Typical High
$21.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$23.44
Typical High
$151.36
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$6.61
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$12.02
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$8.91
Typical High
$14.13

Where Illinois 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.

Illinois· 19th of 51

$15.14

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.