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C. Diff Toxin Gene Test

Arkansas 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?

$44.67

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $48.98 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 7 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$41.69$28.18 to $54.95
FacilityA hospital or hospital-owned outpatient department$48.98$42.66 to $54.95

How much rates vary

Facilitymedian $49 · 10th to 90th $40 to $76Professionalmedian $42 · 10th to 90th $25 to $155
$20$50$100$200facility $49professional $42

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
$39.81
Median
$51.29
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$41.69
Typical High
$154.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$37.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$57.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$43.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$52.48
CareSource
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$46.77
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$41.69
Typical High
$61.66
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$35.48
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$22.39
Typical High
$50.12

Where Arkansas 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.

Arkansas· 31st of 51

$44.67

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.