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Rotavirus Antigen Detection Test

Oregon 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 Oregon, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $14.45 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 8 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$16.22$12.02 to $20.42
FacilityA hospital or hospital-owned outpatient department$14.45$12.02 to $23.99

How much rates vary

Facilitymedian $14 · 10th to 90th $12 to $36Professionalmedian $16 · 10th to 90th $11 to $56
$10$20$50facility $14professional $16

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
$29.51
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.60
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$31.62
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$13.49
Typical High
$22.39
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$26.30
Typical High
$30.90
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$16.60
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.22
Typical High
$20.89
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$23.99
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$15.14
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$16.60
Typical High
$35.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.45
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$36.31
Typical High
$46.77
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$12.30
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$17.78
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.92
Typical High
$16.60

Where Oregon 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.

Oregon· 20th 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.