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Rotavirus Antigen Detection Test

Massachusetts 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?

$15.85

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $29.51 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 9 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 $18.20
FacilityA hospital or hospital-owned outpatient department$29.51$19.95 to $38.90

How much rates vary

Facilitymedian $30 · 10th to 90th $12 to $69Professionalmedian $12 · 10th to 90th $10 to $35
$10$50$200$1Kfacility $30professional $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
$12.02
Median
$30.20
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.22
Typical High
$51.29
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$85.11
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$29.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$29.51
Typical High
$46.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$19.05
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$13.49
Typical High
$31.62
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$117.49
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$20.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$34.67
Health New England
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$25.12
Typical High
$151.36
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$85.11
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$12.02
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$30.20

Where Massachusetts 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.

Massachusetts· 15th of 51

$15.85

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.