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Toxin Detection Test Using Cell Culture

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $45.71 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 5 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$16.60$15.14 to $22.91
FacilityA hospital or hospital-owned outpatient department$45.71$29.51 to $117

How much rates vary

Facilitymedian $46 · 10th to 90th $20 to $269Professionalmedian $17 · 10th to 90th $9 to $38
$10.0$100.0$1.0K$10.0Kfacility $46professional $17

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
$25.12
Median
$45.71
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$17.78
Typical High
$51.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$43.65
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$19.05
Typical High
$54.95
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.55
Typical High
$22.39
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$17.38
Typical High
$21.88
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$19.95
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$11.75
Typical High
$28.18

Where New Jersey 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.

New Jersey $22.91 · 17th 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.