go back

C. Diff Toxin Gene Test

Alabama rates for HCPCS 87493

This laboratory test looks for the genetic material of the toxin-producing form of Clostridioides difficile bacteria in a stool sample, using a technique that amplifies small amounts of genetic material so it can be detected. It is used to determine whether a Clostridioides difficile infection is causing diarrhea or colon inflammation.

Rates data updated July 2026.

How much does C. Diff Toxin Gene Test cost?

$41.69

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $42.66 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 4 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$33.11$24.55 to $42.66
FacilityA hospital or hospital-owned outpatient department$42.66$40.74 to $50.12

How much rates vary

Facilitymedian $43 · 10th to 90th $36 to $74Professionalmedian $33 · 10th to 90th $21 to $43
$20$50$100$200$500facility $43professional $33

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
$40.74
Median
$42.66
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$33.88
Typical High
$42.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$45.71
Typical High
$60.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$19.05
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$37.15
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$23.44
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$33.88
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$17.78
Typical High
$46.77

Where Alabama sits

The same service costs 4.7 times more in West Virginia than in Oklahoma. 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.

Alabama· 35th of 51

$41.69

WV $166OK $35.48

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.