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C. Difficile Toxin Stool Test

Massachusetts 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?

$15.85

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $25.70 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$15.85$11.75 to $15.85
FacilityA hospital or hospital-owned outpatient department$25.70$15.85 to $46.77

How much rates vary

Facilitymedian $26 · 10th to 90th $11 to $51Professionalmedian $16 · 10th to 90th $10 to $35
$10$20$50facility $26professional $16

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
$27.54
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$11.22
Typical High
$15.14
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.55
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$12.59
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$19.50
Typical High
$23.99
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$36.31
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.55
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$15.85
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$15.85
Typical High
$43.65

Where Massachusetts 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.

Massachusetts· 21st of 51

$15.85

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.