go back

Toxin Detection Test Using Cell Culture

Ohio 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?

$18.62

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $18.62 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. 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 9 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$11.75 to $19.95
FacilityA hospital or hospital-owned outpatient department$27.54$19.95 to $45.71

How much rates vary

Facilitymedian $28 · 10th to 90th $16 to $65Professionalmedian $16 · 10th to 90th $10 to $44
$5.0$10.0$20.0$50.0$100.0$200.0facility $28professional $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
$16.22
Median
$38.02
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$17.78
Typical High
$64.57
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$20.89
Typical High
$36.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.02
Typical High
$25.70
CareSource
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$22.91
CareSource
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$25.70
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.88
Typical High
$38.02
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$25.70
Typical High
$81.28
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.88
Typical High
$33.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$16.22
Typical High
$23.44
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$20.89
Typical High
$38.90
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$19.95
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$11.75
Typical High
$27.54

Where Ohio 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.

Ohio $18.62 · 32nd 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.