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C. Diff Toxin Gene Test

Illinois 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?

$79.43

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $158 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 6 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$31.62$25.70 to $46.77
FacilityA hospital or hospital-owned outpatient department$158$81.28 to $245

How much rates vary

Facilitymedian $158 · 10th to 90th $52 to $302Professionalmedian $32 · 10th to 90th $3 to $76
$5$10$20$50$100$200$500facility $158professional $32

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
$56.23
Median
$186.21
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$40.74
Typical High
$75.86
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
BCBS
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$151.36
Typical High
$467.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$25.70
Typical High
$28.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$85.11
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$45.71
Typical High
$69.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$93.33
Typical High
$213.80
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$29.51
Typical High
$95.50

Where Illinois 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.

Illinois· 10th of 51

$79.43

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.