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Toxin Detection Test Using Cell Culture

Tennessee 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?

$15.49

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $15.49 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $30.20 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$15.49$14.79 to $17.78
FacilityA hospital or hospital-owned outpatient department$30.20$17.38 to $72.44

How much rates vary

Facilitymedian $30 · 10th to 90th $15 to $85Professionalmedian $15 · 10th to 90th $15 to $27
$5.0$10.0$20.0$50.0$100.0facility $30professional $15

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
$14.79
Median
$30.20
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$20.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$26.92
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$41.69
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$15.14
Typical High
$30.20
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$19.95
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$16.22
Typical High
$27.54

Where Tennessee 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.

Tennessee $15.49 · 50th 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.