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Rotavirus Antigen Detection Test

South Dakota 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?

$28.84

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $33.11 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 7 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$33.11$16.98 to $87.10
FacilityA hospital or hospital-owned outpatient department$22.91$12.02 to $83.18

How much rates vary

Facilitymedian $23 · 10th to 90th $12 to $83Professionalmedian $33 · 10th to 90th $8 to $89
$10$20$50$100$200facility $23professional $33

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
$12.02
Median
$12.02
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$75.86
Typical High
$89.13
Avera
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$12.02
Typical High
$17.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$22.91
Typical High
$28.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$19.05
Typical High
$85.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$8.32
Typical High
$16.60
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$28.84
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$10.72
Typical High
$16.60
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02

Where South Dakota 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 Dakota· 1st of 51

$28.84

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.