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Toxin Detection Test Using Cell Culture

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $31.62 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$19.95$15.14 to $19.95
FacilityA hospital or hospital-owned outpatient department$31.62$19.95 to $89.13

How much rates vary

Facilitymedian $32 · 10th to 90th $20 to $182Professionalmedian $20 · 10th to 90th $10 to $25
$10.0$20.0$50.0$100.0$200.0facility $32professional $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
$19.95
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.85
Typical High
$19.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$181.97
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$11.22
Typical High
$25.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$27.54
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$19.95
Typical High
$28.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$19.95
Typical High
$23.99
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$89.13
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$19.95
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$19.95
Typical High
$39.81

Where Maine 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.

Maine $19.95 · 28th 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.