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C. Difficile Toxin Stool Test

Rhode Island 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?

$11.75

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $11.75 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $48.98 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 4 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$11.75$9.55 to $11.75
FacilityA hospital or hospital-owned outpatient department$48.98$35.48 to $72.44

How much rates vary

Facilitymedian $49 · 10th to 90th $19 to $91Professionalmedian $12 · 10th to 90th $9 to $23
$0.1$1$10$100facility $49professional $12

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$72.44
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$11.75
Typical High
$11.75
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$33.88
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$22.91
United
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$15.85
Typical High
$22.91

Where Rhode Island 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.

Rhode Island· 48th of 51

$11.75

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.