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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 October 2026.

How much does Toxin Detection Test Using Cell Culture cost?

$17.78

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $32.36 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$16.60$15.14 to $19.95
FacilityA hospital or hospital-owned outpatient department$32.36$19.95 to $60.26

How much rates vary

Facilitymedian $32 · 10th to 90th $16 to $120Professionalmedian $17 · 10th to 90th $10 to $28
$10$100$1Kfacility $32professional $17

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
$15.85
Median
$16.60
Typical High
$57.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$15.85
Typical High
$18.20
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$7.76
Median
$7.94
Typical High
$8.91
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.09
Median
$3.24
Typical High
$3.55
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$128.82
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$15.49
Typical High
$17.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$13.80
Median
$30.20
Typical High
$58.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$22.39
Typical High
$47.86
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$9.33
Typical High
$28.84
Geisinger
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Geisinger
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$19.95
Typical High
$29.51
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$85.11
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$14.79
Typical High
$16.60
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$57.54
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$18.20
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$7.94
Median
$7.94
Typical High
$8.32
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.24
Median
$3.24
Typical High
$3.39
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$48.98
Typical High
$85.11
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$19.95
Typical High
$24.55
United
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$19.95
Typical High
$23.44
United
Setting
Professional
Modifier
None
Typical Low
$8.91
Median
$12.88
Typical High
$30.90

Where Pennsylvania 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.

Pennsylvania· 31st of 51

$17.78

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.