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Toxin Detection Test Using Cell Culture

Maryland 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 Maryland, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $25.70 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$16.22$14.45 to $24.55
FacilityA hospital or hospital-owned outpatient department$25.70$12.88 to $170

How much rates vary

Facilitymedian $26 · 10th to 90th $8 to $170Professionalmedian $16 · 10th to 90th $12 to $78
$10.0$20.0$50.0$100.0facility $26professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$16.22
Typical High
$77.62
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$15.85
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$13.80
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$19.50
Typical High
$47.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.44
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$9.33
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$11.48
Typical High
$19.95
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$13.49
Typical High
$29.51

Where Maryland 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.

Maryland $16.22 · 47th 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.