go back

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 July 2026.

How much does Toxin Detection Test Using Cell Culture cost?

$16.98

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $21.38 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 7 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$15.85$15.85 to $17.78
FacilityA hospital or hospital-owned outpatient department$21.38$16.98 to $43.65

How much rates vary

Facilitymedian $21 · 10th to 90th $16 to $93Professionalmedian $16 · 10th to 90th $13 to $28
$10.0$20.0$50.0$100.0$200.0facility $21professional $16

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
$15.85
Median
$21.38
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.85
Typical High
$26.30
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$13.80
Typical High
$13.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$44.67
Typical High
$74.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$17.78
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$38.02
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.80
Typical High
$30.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$38.90
Typical High
$42.66
Medcost
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$17.78
Typical High
$38.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$19.50
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$24.55
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$13.80
Typical High
$27.54
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$100.00

Where North Carolina 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.

North Carolina $16.98 · 44th 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.