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C. Difficile Toxin Stool Test

Kentucky 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?

$12.59

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $15.85 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$12.59$5.89 to $13.18
FacilityA hospital or hospital-owned outpatient department$15.85$13.18 to $23.44

How much rates vary

Facilitymedian $16 · 10th to 90th $13 to $38Professionalmedian $13 · 10th to 90th $5 to $16
$10$100$1K$10Kfacility $16professional $13

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
$13.18
Median
$13.18
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$13.18
Typical High
$15.85
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$15.85
Typical High
$16.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.89
Typical High
$5.89
CareSource
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$239.88
Typical High
$46,773.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$21.38
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$23.44
Typical High
$33.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$77.62
Typical High
$77.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$15.85
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.55
Typical High
$15.85

Where Kentucky 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.

Kentucky· 42nd of 51

$12.59

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.