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C. Difficile Toxin Stool Test

New York 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 New York, July 2026.

Insurers have agreed to pay about $12.88 for this service. The price depends on where it is billed: about $8.71 from a physician practice, and about $27.54 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 9 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$8.71$6.76 to $12.88
FacilityA hospital or hospital-owned outpatient department$27.54$15.85 to $38.02

How much rates vary

Facilitymedian $28 · 10th to 90th $13 to $44Professionalmedian $9 · 10th to 90th $6 to $17
$10$20$50facility $28professional $9

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
$28.84
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$13.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$41.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$20.42
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$15.85
Typical High
$15.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$34.67
Typical High
$41.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$77.62
Typical High
$77.62
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$26.30
Typical High
$61.66
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.55
Typical High
$30.90
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$15.14
Typical High
$17.38
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$30.20
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$15.85
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$15.85
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.55
Typical High
$23.44
Univera
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$15.85
Typical High
$18.20
Univera
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$15.85
Typical High
$18.20

Where New York 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.

New York· 37th 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.