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Rotavirus Antigen Detection Test

West 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?

$11.48

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $11.48 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $110 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$8.91 to $10.96
FacilityA hospital or hospital-owned outpatient department$110$29.51 to $117

How much rates vary

Facilitymedian $110 · 10th to 90th $10 to $162Professionalmedian $10 · 10th to 90th $7 to $11
$10$20$50$100facility $110professional $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
$9.77
Median
$109.65
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$9.55
Typical High
$11.22
CareSource
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
CareSource
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$25.70
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$23.44
Typical High
$81.28
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$7.24
United
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.76
Typical High
$16.60

Where West 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.

West Virginia· 40th of 51

$11.48

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.