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C. Difficile Toxin Stool Test

Georgia rates for HCPCS 0107U

Checks a stool sample for the toxin made by Clostridium difficile, a bacterium that causes severe diarrhea, often after a course of antibiotics. It detects the toxin protein itself rather than the bacterium's genetic material.

Rates data updated July 2026.

How much does C. Difficile Toxin Stool Test cost?

$12.88

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $12.88 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $18.20 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 6 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$10.72$9.55 to $13.80
FacilityA hospital or hospital-owned outpatient department$18.20$12.88 to $21.38

How much rates vary

Facilitymedian $18 · 10th to 90th $12 to $30Professionalmedian $11 · 10th to 90th $6 to $15
$5$10$20$50facility $18professional $11

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
$10.72
Median
$14.45
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$12.59
Typical High
$15.14
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$18.20
Typical High
$21.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$19.95
CareSource
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$35.48
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$19.50
Typical High
$23.99
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$18.20
Typical High
$20.89
United
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$14.45
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.55
Typical High
$16.98

Where Georgia sits

The same service costs 2.3 times more in South Dakota than in Connecticut. 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.

Georgia· 39th of 51

$12.88

SD $23.99CT $10.47

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.