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C. Diff Toxin Gene Test

Georgia 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 Georgia, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $57.54 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$35.48$19.95 to $53.70
FacilityA hospital or hospital-owned outpatient department$57.54$39.81 to $95.50

How much rates vary

Facilitymedian $58 · 10th to 90th $30 to $170Professionalmedian $35 · 10th to 90th $17 to $81
$20$50$100$200facility $58professional $35

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
$67.61
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$40.74
Typical High
$83.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$53.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$47.86
Typical High
$63.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$19.05
Typical High
$50.12
CareSource
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
CareSource
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$48.98
Typical High
$50.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$66.07
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$38.02
Typical High
$104.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$45.71
Typical High
$70.79
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$104.71
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$33.88
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$20.42
Typical High
$64.57

Where Georgia 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.

Georgia· 30th 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.