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Rotavirus Antigen Detection Test

South 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?

$10.47

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $10.47 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $29.51 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$9.55$9.33 to $10.47
FacilityA hospital or hospital-owned outpatient department$29.51$12.59 to $54.95

How much rates vary

Facilitymedian $30 · 10th to 90th $9 to $91Professionalmedian $10 · 10th to 90th $9 to $24
$10$20$50$100$200facility $30professional $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
$9.33
Median
$20.89
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$10.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$60.26
Typical High
$144.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$23.99
Typical High
$30.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$54.95
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.76
Typical High
$16.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$13.80
Typical High
$25.12
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$12.02
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$8.51
Typical High
$16.60

Where South 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.

South Carolina· 46th of 51

$10.47

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.