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Toxin Detection Test Using Cell Culture

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $16.22 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 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$16.22$15.85 to $18.62
FacilityA hospital or hospital-owned outpatient department$45.71$23.99 to $70.79

How much rates vary

Facilitymedian $46 · 10th to 90th $17 to $115Professionalmedian $16 · 10th to 90th $15 to $30
$10.0$100.0$1.0K$10.0Kfacility $46professional $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
$16.60
Median
$45.71
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$16.22
Typical High
$30.20
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$125.89
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$30.20
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$25.12
Typical High
$47.86
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$11.75
Typical High
$28.84
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$19.95
Typical High
$33.88
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$85.11
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.79
Typical High
$14.79
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$45.71
Typical High
$114.82
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$16.60
Typical High
$58.88
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$48.98
Typical High
$104.71
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$19.95
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$19.95
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$14.45
Typical High
$30.90

Where Pennsylvania 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.

Pennsylvania $18.62 · 31st 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.