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Toxin Detection Test Using Cell Culture

Massachusetts 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?

$22.39

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $22.39 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $48.98 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 9 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$18.62 to $27.54
FacilityA hospital or hospital-owned outpatient department$48.98$28.18 to $60.26

How much rates vary

Facilitymedian $49 · 10th to 90th $19 to $98Professionalmedian $20 · 10th to 90th $17 to $54
$10.0$100.0$1.0K$10.0Kfacility $49professional $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
$19.95
Median
$51.29
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$18.62
Typical High
$87.10
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$27.54
Typical High
$100.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$19.95
Typical High
$47.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$48.98
Typical High
$77.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$25.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$30.90
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$22.91
Typical High
$51.29
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$154.88
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$33.11
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$58.88
Health New England
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$25.70
Typical High
$45.71
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$27.54
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$19.95
Typical High
$47.86
United
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$19.95
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$19.95
Typical High
$50.12

Where Massachusetts 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.

Massachusetts $22.39 · 21st 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.