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North Carolina rates for HCPCS 87230

Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)

Facilitymedian $21 · 10th–90th $16–$660%10%20%10th90th$21Professionalmedian $17 · 10th–90th $13–$260%20%10th90th$17$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $21.38 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $17.38 / $22.91
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $13.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $85.11 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $17.78 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $40.74 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $13.80 / $30.20
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $38.90 / $42.66
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $17.78 / $38.90
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.50 / $21.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $19.95 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $13.80 / $27.54
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $100.00