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Toxin Detection Test Using Cell Culture

Georgia 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?

$18.20

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $26.30 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$16.60$13.18 to $19.95
FacilityA hospital or hospital-owned outpatient department$26.30$19.95 to $34.67

How much rates vary

Facilitymedian $26 · 10th to 90th $16 to $47Professionalmedian $17 · 10th to 90th $10 to $40
$10.0$20.0$50.0$100.0facility $26professional $17

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
$15.85
Median
$30.90
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.60
Typical High
$43.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$12.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$26.30
Typical High
$35.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$14.45
Typical High
$39.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$38.90
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.80
Typical High
$41.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$28.18
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$17.78
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$11.75
Typical High
$27.54

Where Georgia 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.

Georgia $18.20 · 34th 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.