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C. Difficile Toxin Stool Test

Tennessee 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 Tennessee, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $12.02 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 5 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$12.02$12.02 to $12.88
FacilityA hospital or hospital-owned outpatient department$15.85$12.59 to $43.65

How much rates vary

Facilitymedian $16 · 10th to 90th $10 to $76Professionalmedian $12 · 10th to 90th $11 to $16
$5$10$20$50facility $16professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$17.38
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$15.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$23.44
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$19.50
Typical High
$23.99
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$14.45
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.55
Typical High
$16.98

Where Tennessee 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.

Tennessee· 43rd 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.