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Toxin Detection Test Using Cell Culture

Vermont 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?

$27.54

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $151 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$24.55$15.14 to $33.88
FacilityA hospital or hospital-owned outpatient department$151$33.11 to $331

How much rates vary

Facilitymedian $151 · 10th to 90th $20 to $347Professionalmedian $25 · 10th to 90th $12 to $38
$10$20$50$100$200facility $151professional $25

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
Professional
Modifier
None
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$331.13
Typical High
$346.74
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$26.92
Typical High
$33.88
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
United
Setting
Professional
Modifier
None
Typical Low
$8.91
Median
$16.98
Typical High
$43.65

Where Vermont 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.

Vermont· 9th of 51

$27.54

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.