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Rotavirus Antigen Detection Test

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $8.91 from a physician practice, and about $22.39 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$8.91$8.91 to $11.22
FacilityA hospital or hospital-owned outpatient department$22.39$12.02 to $37.15

How much rates vary

Facilitymedian $22 · 10th to 90th $11 to $126Professionalmedian $9 · 10th to 90th $6 to $28
$10$100$1K$10Kfacility $22professional $9

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
$29.51
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$9.33
Typical High
$27.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$47.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$9.12
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$56.23
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$30.90
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$8.71
Typical High
$19.50
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.45
Typical High
$17.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$19.95
Typical High
$23.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$19.50
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$25.12
Sentara
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$17.38
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$16.98
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$12.02
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.76
Typical High
$12.02

Where Virginia 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.

Virginia· 35th 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.