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C. Diff Toxin Gene Test

Maine 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?

$41.69

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $110 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 7 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$37.15$37.15 to $37.15
FacilityA hospital or hospital-owned outpatient department$110$48.98 to $170

How much rates vary

Facilitymedian $110 · 10th to 90th $37 to $240Professionalmedian $37 · 10th to 90th $21 to $45
$20$50$100$200facility $110professional $37

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
$37.15
Median
$95.50
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$40.74
Typical High
$41.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$239.88
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$21.38
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$38.02
Typical High
$67.61
Community Health Options
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$44.67
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$114.82
Typical High
$234.42
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$37.15
Typical High
$66.07

Where Maine 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.

Maine· 38th of 51

$41.69

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.