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Toxin Detection Test Using Cell Culture

South Dakota 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?

$28.18

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $38.02 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 6 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$22.91$15.49 to $45.71
FacilityA hospital or hospital-owned outpatient department$38.02$36.31 to $38.02

How much rates vary

Facilitymedian $38 · 10th to 90th $22 to $38Professionalmedian $23 · 10th to 90th $13 to $54
$10.0$20.0$50.0$100.0facility $38professional $23

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
$13.80
Median
$22.39
Typical High
$22.39
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$17.78
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$38.02
Typical High
$47.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$30.20
Typical High
$74.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$13.80
Typical High
$27.54
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$47.86
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$17.78
Typical High
$27.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95

Where South Dakota 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.

South Dakota $28.18 · 6th 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.