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Toxin Detection Test Using Cell Culture

New Mexico 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?

$23.44

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $17.78 from a physician practice, and about $120 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$17.78$14.79 to $23.44
FacilityA hospital or hospital-owned outpatient department$120$35.48 to $162

How much rates vary

Facilitymedian $120 · 10th to 90th $19 to $195Professionalmedian $18 · 10th to 90th $12 to $129
$10.0$100.0$1.0K$10.0K$100.0Kfacility $120professional $18

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
$29.51
Median
$144.54
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$17.78
Typical High
$128.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$128.82
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$16.22
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$28.18
Typical High
$42.66
Providence
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$23.44
Typical High
$34.67
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$30.20
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$17.78
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$11.75
Typical High
$14.79

Where New Mexico 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 Mexico $23.44 · 15th 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.