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Toxin Detection Test Using Cell Culture

Kentucky 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?

$16.22

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $19.95 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 5 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$15.85$9.77 to $18.20
FacilityA hospital or hospital-owned outpatient department$19.95$16.22 to $47.86

How much rates vary

Facilitymedian $20 · 10th to 90th $16 to $708Professionalmedian $16 · 10th to 90th $10 to $28
$5.0$10.0$20.0$50.0$100.0$200.0$500.0facility $20professional $16

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
$16.22
Median
$16.22
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$16.22
Typical High
$47.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$19.95
Typical High
$20.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$27.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$23.44
Typical High
$27.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$24.55
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$38.02
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$131.83
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$19.95
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$16.60
Typical High
$27.54

Where Kentucky 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.

Kentucky $16.22 · 46th 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.