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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 October 2026.

How much does Toxin Detection Test Using Cell Culture cost?

$22.91

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $30.20 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$22.91$13.80 to $39.81
FacilityA hospital or hospital-owned outpatient department$30.20$22.39 to $38.02

How much rates vary

Facilitymedian $30 · 10th to 90th $19 to $66Professionalmedian $23 · 10th to 90th $13 to $48
$10$20$50$100facility $30professional $23

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$13.80
Median
$13.80
Typical High
$22.39
Aetna
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$13.18
Typical High
$18.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$38.02
Typical High
$47.86
Medica
Setting
Facility
Modifier
None
Typical Low
$19.05
Median
$22.39
Typical High
$74.13
Medica
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$17.78
Typical High
$27.54
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$45.71
Typical High
$53.70
United
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$13.80
Typical High
$23.44
Wellmark
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$19.95

Where South Dakota 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.

South Dakota· 15th of 51

$22.91

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.