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C. Diff Toxin Gene Test

Kentucky 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?

$38.02

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $75.86 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$30.90$17.38 to $47.86
FacilityA hospital or hospital-owned outpatient department$75.86$37.15 to $135

How much rates vary

Facilitymedian $76 · 10th to 90th $31 to $191Professionalmedian $31 · 10th to 90th $17 to $195
$20$50$100$200facility $76professional $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
$30.90
Median
$89.13
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$40.74
Typical High
$245.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$46.77
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$37.15
Typical High
$38.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$38.02
CareSource
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$52.48
Typical High
$70.79
CareSource
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$48.98
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$75.86
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$66.07
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$37.15
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$29.51
Typical High
$50.12

Where Kentucky 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.

Kentucky· 47th of 51

$38.02

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.