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Rotavirus Antigen Detection Test

New Hampshire 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?

$19.50

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $41.69 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$12.30$7.76 to $22.39
FacilityA hospital or hospital-owned outpatient department$41.69$22.91 to $67.61

How much rates vary

Facilitymedian $42 · 10th to 90th $20 to $182Professionalmedian $12 · 10th to 90th $7 to $50
$10$20$50$100facility $42professional $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
$16.60
Median
$151.36
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$51.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$23.44
Typical High
$69.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.76
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$45.71
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$12.30
Typical High
$34.67
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$20.89
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$9.55
Typical High
$33.88

Where New Hampshire 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.

New Hampshire· 9th of 51

$19.50

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.