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C. Diff Toxin Gene Test

Missouri 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?

$58.88

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $64.57 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$47.86$28.84 to $89.13
FacilityA hospital or hospital-owned outpatient department$64.57$48.98 to $110

How much rates vary

Facilitymedian $65 · 10th to 90th $37 to $162Professionalmedian $48 · 10th to 90th $17 to $98
$20$50$100$200facility $65professional $48

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
$45.71
Median
$83.18
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$64.57
Typical High
$97.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$31.62
Typical High
$37.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$131.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$30.90
Typical High
$83.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$37.15
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$72.44
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$28.18
Typical High
$138.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$57.54
Typical High
$177.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$25.70
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$37.15
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$24.55
Typical High
$58.88

Where Missouri 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.

Missouri· 19th of 51

$58.88

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.