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Toxin Detection Test Using Cell Culture

Utah 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?

$17.78

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $69.18 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$16.60$14.45 to $18.62
FacilityA hospital or hospital-owned outpatient department$69.18$22.91 to $72.44

How much rates vary

Facilitymedian $69 · 10th to 90th $13 to $93Professionalmedian $17 · 10th to 90th $13 to $23
$10.0$20.0$50.0$100.0facility $69professional $17

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
$13.18
Median
$70.79
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$17.78
Typical High
$22.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$20.42
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$13.49
Typical High
$38.02
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$89.13
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$16.60
Typical High
$17.78
Select Health
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Select Health
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$19.95
Typical High
$25.70
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$17.38
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$11.75
Typical High
$27.54

Where Utah 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.

Utah $17.78 · 39th 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.