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Toxin Detection Test Using Cell Culture

Rhode Island 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?

$20.42

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $58.88 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 4 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$20.42$14.79 to $20.42
FacilityA hospital or hospital-owned outpatient department$58.88$25.12 to $115

How much rates vary

Facilitymedian $59 · 10th to 90th $23 to $126Professionalmedian $20 · 10th to 90th $12 to $29
$10.0$20.0$50.0$100.0facility $59professional $20

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
$32.36
Median
$79.43
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$20.42
Typical High
$20.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$23.99
Typical High
$39.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$14.79
Typical High
$17.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$46.77
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$21.38
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$19.95
Typical High
$38.90

Where Rhode Island 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.

Rhode Island $20.42 · 23rd 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.