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Toxin Detection Test Using Cell Culture

Kansas 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 Kansas, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $16.98 from a physician practice, and about $45.71 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 6 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$16.98$16.98 to $19.95
FacilityA hospital or hospital-owned outpatient department$45.71$28.18 to $70.79

How much rates vary

Facilitymedian $46 · 10th to 90th $20 to $74Professionalmedian $17 · 10th to 90th $14 to $31
$10.0$20.0$50.0$100.0$200.0facility $46professional $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
$20.89
Median
$42.66
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.98
Typical High
$19.95
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$70.79
Typical High
$74.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$32.36
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$22.91
Typical High
$52.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$42.66
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$16.22
Typical High
$34.67
United
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$19.95
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$16.60
Typical High
$35.48

Where Kansas 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.

Kansas $19.95 · 27th 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.