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C. Diff Toxin Gene Test

Florida 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 Florida, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $107 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 8 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$30.90$26.30 to $40.74
FacilityA hospital or hospital-owned outpatient department$107$50.12 to $151

How much rates vary

Facilitymedian $107 · 10th to 90th $34 to $191Professionalmedian $31 · 10th to 90th $22 to $148
$10$20$50$100$200facility $107professional $31

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
$33.88
Median
$109.65
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$31.62
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
AvMed
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$37.15
Typical High
$43.65
AvMed
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$37.15
Typical High
$42.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$42.66
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$30.20
Typical High
$74.13
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$36.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$33.88
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$17.78
Typical High
$81.28
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$37.15

Where Florida 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.

Florida· 34th 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.