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Toxin Detection Test Using Cell Culture

North Carolina 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 North Carolina, October 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $27.54 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$15.85$13.49 to $19.95
FacilityA hospital or hospital-owned outpatient department$27.54$15.85 to $53.70

How much rates vary

Facilitymedian $28 · 10th to 90th $16 to $89Professionalmedian $16 · 10th to 90th $10 to $30
$10$20$50$100facility $28professional $16

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
$51.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$21.88
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$7.94
Median
$7.94
Typical High
$8.51
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.16
Median
$3.16
Typical High
$3.39
Ambetter
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$13.18
Typical High
$13.80
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$85.11
Typical High
$85.11
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$14.79
Typical High
$17.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$13.80
Median
$42.66
Typical High
$89.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$13.49
Typical High
$32.36
Medcost
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$38.90
Typical High
$42.66
Medcost
Setting
Facility
Modifier
None
Typical Low
$15.49
Median
$15.85
Typical High
$41.69
Medcost
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$28.18
Typical High
$36.31
United
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$13.80
Typical High
$26.92

Where North Carolina 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.

North Carolina· 42nd 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.