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Toxin Detection Test Using Cell Culture

Iowa 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?

$23.99

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $39.81 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$19.95$15.14 to $47.86
FacilityA hospital or hospital-owned outpatient department$39.81$19.95 to $57.54

How much rates vary

Facilitymedian $40 · 10th to 90th $15 to $178Professionalmedian $20 · 10th to 90th $13 to $129
$10.0$20.0$50.0$100.0facility $40professional $20

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
$15.14
Median
$46.77
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$15.14
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$38.02
Typical High
$47.86
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$47.86
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$25.70
Typical High
$61.66
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$23.44
Typical High
$51.29
Midlands
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$26.30
Typical High
$26.30
Midlands
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$16.60
Typical High
$50.12
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$19.95
Typical High
$19.95

Where Iowa 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.

Iowa $23.99 · 11th 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.