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C. Diff Toxin Gene Test

Colorado 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?

$91.20

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $123 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$28.18$25.12 to $37.15
FacilityA hospital or hospital-owned outpatient department$123$69.18 to $174

How much rates vary

Facilitymedian $123 · 10th to 90th $39 to $245Professionalmedian $28 · 10th to 90th $20 to $49
$20$50$100$200facility $123professional $28

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
$45.71
Median
$131.83
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$28.18
Typical High
$48.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$112.20
Typical High
$190.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$37.15
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$26.30
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$24.55
Typical High
$54.95
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$40.74
Typical High
$66.07
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$95.50
Select Health
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$69.18
Typical High
$77.62
Select Health
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$37.15
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$40.74
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$20.42
Typical High
$50.12

Where Colorado 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.

Colorado· 7th of 51

$91.20

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.