go back

Rotavirus Antigen Detection Test

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $19.95 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 6 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$11.75$9.12 to $24.55
FacilityA hospital or hospital-owned outpatient department$19.95$12.59 to $40.74

How much rates vary

Facilitymedian $20 · 10th to 90th $12 to $65Professionalmedian $12 · 10th to 90th $6 to $36
$10$20$50$100facility $20professional $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
$11.75
Median
$20.89
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.80
Typical High
$48.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$41.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$10.23
Typical High
$28.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$24.55
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$22.91
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$11.22
Typical High
$31.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$20.89
Typical High
$85.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$14.45
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$12.02
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$8.91
Typical High
$15.85

Where Missouri 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.

Missouri· 16th 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.