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Texas rates for HCPCS 87230

Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)

Facilitymedian $49 · 10th–90th $16$1070%5%10th90th$49Professionalmedian $15 · 10th–90th $11$250%10%10th90th$15$2.0$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $58.88 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.85 / $23.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $13.80 / $13.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $67.61 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $10.96 / $19.05
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $100.00
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $43.65 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $14.45 / $33.11
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $19.95 / $89.13
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $17.78 / $35.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $16.60 / $16.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $19.95 / $57.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $14.45 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $19.95 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $11.48 / $19.95
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.23 / $19.95