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Toxin Detection Test Using Cell Culture

Missouri 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?

$22.91

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $27.54 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$19.05$12.02 to $33.11
FacilityA hospital or hospital-owned outpatient department$27.54$19.95 to $38.02

How much rates vary

Facilitymedian $28 · 10th to 90th $19 to $68Professionalmedian $19 · 10th to 90th $10 to $47
$10.0$20.0$50.0$100.0$200.0facility $28professional $19

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
$19.05
Median
$33.88
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$19.05
Typical High
$46.77
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$69.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$17.38
Typical High
$51.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$39.81
Typical High
$44.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$38.02
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$18.62
Typical High
$51.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$41.69
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$11.75
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$19.95
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$14.45
Typical High
$26.30

Where Missouri 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.

Missouri $22.91 · 20th 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.