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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 October 2026.

How much does Toxin Detection Test Using Cell Culture cost?

$15.85

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $25.12 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$11.75$9.77 to $15.85
FacilityA hospital or hospital-owned outpatient department$25.12$19.50 to $28.84

How much rates vary

Facilitymedian $25 · 10th to 90th $19 to $158Professionalmedian $12 · 10th to 90th $8 to $28
$10$20$50$100$200facility $25professional $12

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$19.05
Median
$26.30
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$7.24
Median
$9.77
Typical High
$12.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$28.18
Typical High
$44.67
Cigna
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$19.95
Typical High
$28.18
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$15.85
Typical High
$46.77
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
United
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$15.85
Typical High
$46.77

Where Maine sits

The same service costs 4.5 times more in Kansas than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 39th of 51

$15.85

KS $46.77AL $10.47

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.