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C. Diff Toxin Gene Test

Arizona 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?

$40.74

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $75.86 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$37.15$25.12 to $48.98
FacilityA hospital or hospital-owned outpatient department$75.86$52.48 to $151

How much rates vary

Facilitymedian $76 · 10th to 90th $34 to $182Professionalmedian $37 · 10th to 90th $21 to $166
$20$50$100$200$500facility $76professional $37

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
$107.15
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$37.15
Typical High
$190.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$91.20
Typical High
$173.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$32.36
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$40.74
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$33.88
Typical High
$69.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$40.74
Typical High
$107.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$20.89
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$37.15
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$20.89
Typical High
$51.29

Where Arizona 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.

Arizona· 39th of 51

$40.74

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.