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Rotavirus Antigen Detection Test

North Carolina 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?

$10.72

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $10.72 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $15.85 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$9.55$9.55 to $14.79
FacilityA hospital or hospital-owned outpatient department$15.85$10.23 to $36.31

How much rates vary

Facilitymedian $16 · 10th to 90th $10 to $89Professionalmedian $10 · 10th to 90th $8 to $17
$10$20$50$100facility $16professional $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
$9.55
Median
$17.78
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$16.60
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$7.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$31.62
Typical High
$42.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.72
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$23.44
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$8.32
Typical High
$18.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$26.30
Typical High
$50.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$10.96
Typical High
$22.39
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$10.23
United
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$15.85
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.94
Typical High
$16.22
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$85.11

Where North Carolina 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.

North Carolina· 45th of 51

$10.72

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.