go back

C. Difficile Toxin Stool Test

Virginia 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?

$13.18

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $13.18 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 7 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$9.55 to $13.18
FacilityA hospital or hospital-owned outpatient department$15.85$15.85 to $34.67

How much rates vary

Facilitymedian $16 · 10th to 90th $13 to $65Professionalmedian $12 · 10th to 90th $6 to $13
$10$20$50$100facility $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
$33.88
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$13.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$10.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$30.90
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$18.20
Typical High
$22.91
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$19.05
Typical High
$23.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$12.88
Typical High
$19.50
Medcost
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$33.88
Sentara
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$20.89
Typical High
$67.61
Sentara
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$20.89
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$15.85
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.94
Typical High
$15.85

Where Virginia 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.

Virginia· 32nd of 51

$13.18

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.