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Toxin Detection Test Using Cell Culture

Colorado rates for HCPCS 87230

This laboratory test checks a sample for the presence of a toxin, such as the toxin produced by Clostridioides difficile bacteria, by exposing living cells in a culture to the sample and observing the effect. It is one way to confirm certain toxin-producing infections.

Rates data updated July 2026.

How much does Toxin Detection Test Using Cell Culture cost?

$19.95

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $51.29 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$15.14$15.14 to $18.62
FacilityA hospital or hospital-owned outpatient department$51.29$26.30 to $83.18

How much rates vary

Facilitymedian $51 · 10th to 90th $15 to $100Professionalmedian $15 · 10th to 90th $12 to $20
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $51professional $15

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
$12.59
Median
$43.65
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.85
Typical High
$18.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$58.88
Typical High
$100.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$19.95
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$13.80
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.88
Typical High
$23.44
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$21.38
Typical High
$40.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$194.98
Typical High
$194.98
Select Health
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$36.31
Typical High
$41.69
Select Health
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$19.95
United
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$19.95
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$11.48
Typical High
$19.05

Where Colorado sits

The same service costs 2.4 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $19.95 · 25th of 51
HI $35.48DC $14.79

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.