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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 October 2026.

How much does Toxin Detection Test Using Cell Culture cost?

$15.85

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $12.30 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.30$9.77 to $18.20
FacilityA hospital or hospital-owned outpatient department$27.54$20.89 to $41.69

How much rates vary

Facilitymedian $28 · 10th to 90th $16 to $65Professionalmedian $12 · 10th to 90th $10 to $29
$10$20$50$100$200facility $28professional $12

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
$20.89
Median
$52.48
Typical High
$72.44
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$9.33
Median
$21.88
Typical High
$40.74
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$3.72
Median
$8.71
Typical High
$16.22
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$18.20
Typical High
$194.98
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$7.94
Median
$9.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.16
Median
$3.72
Typical High
$40.74
Ambetter
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$22.91
Typical High
$36.31
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$10.47
Typical High
$25.12
CareSource
Setting
Facility
Modifier
None
Typical Low
$13.80
Median
$13.80
Typical High
$22.91
CareSource
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Cigna
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$22.91
Typical High
$81.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$12.59
Typical High
$28.18
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$22.91
Typical High
$81.28
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$12.59
Typical High
$27.54
Molina
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$13.80
Typical High
$23.44
SummaCare
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$16.60
Typical High
$23.44
United
Setting
Facility
Modifier
None
Typical Low
$7.08
Median
$17.78
Typical High
$29.51
United
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$14.13
Typical High
$28.18

Where Ohio 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.

Ohio· 40th 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.