go back

C. Difficile Toxin Stool Test

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $12.88 for this service. The price depends on where it is billed: about $12.88 from a physician practice, and about $18.62 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$12.88$11.48 to $12.88
FacilityA hospital or hospital-owned outpatient department$18.62$12.88 to $50.12

How much rates vary

Facilitymedian $19 · 10th to 90th $12 to $72Professionalmedian $13 · 10th to 90th $10 to $16
$10$20$50facility $19professional $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
$12.88
Median
$27.54
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.88
Typical High
$12.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$47.86
Typical High
$50.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$14.45
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$34.67
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$19.50
Typical High
$23.99
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$12.88
Typical High
$15.85
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$12.02
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$15.85
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.94
Typical High
$15.85
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86

Where North Carolina 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.

North Carolina· 35th 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.