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Rotavirus Antigen Detection Test

New Jersey 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?

$15.14

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $33.88 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$9.77$8.51 to $11.22
FacilityA hospital or hospital-owned outpatient department$33.88$21.38 to $69.18

How much rates vary

Facilitymedian $34 · 10th to 90th $12 to $138Professionalmedian $10 · 10th to 90th $6 to $32
$10$100$1K$10Kfacility $34professional $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
$15.49
Median
$33.88
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.77
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$26.92
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$11.48
Typical High
$33.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.03
Typical High
$13.49
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$10.47
Typical High
$12.30
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$12.02
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$16.22

Where New Jersey 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 Jersey· 21st of 51

$15.14

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.