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Rotavirus Antigen Detection Test

Ohio 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?

$12.02

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $22.91 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 9 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$7.08 to $12.02
FacilityA hospital or hospital-owned outpatient department$22.91$12.88 to $36.31

How much rates vary

Facilitymedian $23 · 10th to 90th $11 to $63Professionalmedian $10 · 10th to 90th $6 to $29
$10$20$50$100$200facility $23professional $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
$11.22
Median
$28.18
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.96
Typical High
$38.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$12.59
Typical High
$21.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.41
Typical High
$15.49
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
CareSource
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$13.80
CareSource
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$15.49
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$7.76
Typical High
$22.91
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$16.98
Typical High
$107.15
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$7.94
Typical High
$22.39
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$9.77
Typical High
$14.79
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$12.59
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$12.02
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$16.60

Where Ohio 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.

Ohio· 37th of 51

$12.02

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.