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C. Diff Toxin Gene Test

Delaware 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 Delaware, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $174 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$26.92$25.12 to $40.74
FacilityA hospital or hospital-owned outpatient department$174$38.90 to $372

How much rates vary

Facilitymedian $174 · 10th to 90th $31 to $417Professionalmedian $27 · 10th to 90th $25 to $112
$20$50$100$200$500facility $174professional $27

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
$30.90
Median
$173.78
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$26.92
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$25.12
Typical High
$66.07
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$22.39
Typical High
$56.23

Where Delaware 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.

Delaware· 40th 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.