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Rotavirus Antigen Detection Test

Kentucky 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?

$9.77

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $14.79 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 5 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$5.89 to $11.48
FacilityA hospital or hospital-owned outpatient department$14.79$9.77 to $28.84

How much rates vary

Facilitymedian $15 · 10th to 90th $10 to $59Professionalmedian $10 · 10th to 90th $6 to $17
$5$10$20$50$100facility $15professional $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
$9.77
Median
$15.14
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.77
Typical High
$51.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$12.02
Typical High
$12.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$15.85
CareSource
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$14.45
Typical High
$16.60
CareSource
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$15.14
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$25.70
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$81.28
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$12.02
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$9.55
Typical High
$16.60

Where Kentucky 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.

Kentucky· 49th of 51

$9.77

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.