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C. Diff Toxin Gene Test

Idaho 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?

$63.10

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $41.69 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 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$41.69$38.02 to $69.18
FacilityA hospital or hospital-owned outpatient department$123$64.57 to $174

How much rates vary

Facilitymedian $123 · 10th to 90th $37 to $214Professionalmedian $42 · 10th to 90th $32 to $155
$20$50$100$200$500facility $123professional $42

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
$95.50
Median
$162.18
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$51.29
Typical High
$162.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$112.20
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$38.02
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$77.62
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$27.54
Typical High
$64.57
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$60.26
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$38.02
Typical High
$46.77
Molina
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$32.36
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$74.13
Typical High
$134.90
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$38.90
Select Health
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$91.20
Select Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$20.89
Typical High
$57.54

Where Idaho 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.

Idaho· 18th of 51

$63.10

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.