go back

Rotavirus Antigen Detection Test

Montana 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?

$16.98

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $17.78 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$16.60$13.80 to $79.43
FacilityA hospital or hospital-owned outpatient department$17.78$15.14 to $36.31

How much rates vary

Facilitymedian $18 · 10th to 90th $15 to $68Professionalmedian $17 · 10th to 90th $11 to $79
$10$100$1K$10K$100Kfacility $18professional $17

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
Professional
Modifier
Global
Typical Low
$13.80
Median
$79.43
Typical High
$79.43
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$20.42
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$17.38
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$16.98
Typical High
$37.15
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.98
Typical High
$37.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$23.44
Typical High
$67.61
Providence
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.92
Typical High
$16.60

Where Montana 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.

Montana· 10th of 51

$16.98

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.