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C. Diff Toxin Gene Test

Iowa 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?

$77.62

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $77.62 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$79.43$48.98 to $166
FacilityA hospital or hospital-owned outpatient department$77.62$63.10 to $110

How much rates vary

Facilitymedian $78 · 10th to 90th $37 to $200Professionalmedian $79 · 10th to 90th $37 to $245
$50$100$200facility $78professional $79

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
$54.95
Median
$89.13
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$154.88
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$72.44
Typical High
$89.13
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$87.10
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$48.98
Typical High
$120.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$44.67
Typical High
$186.21
Midlands
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$48.98
Typical High
$48.98
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$40.74
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$31.62
Typical High
$95.50
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15

Where Iowa 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.

Iowa· 11th of 51

$77.62

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.