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C. Diff Toxin Gene Test

Montana 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?

$48.98

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $89.13 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$41.69$33.88 to $53.70
FacilityA hospital or hospital-owned outpatient department$89.13$50.12 to $195

How much rates vary

Facilitymedian $89 · 10th to 90th $47 to $316Professionalmedian $42 · 10th to 90th $31 to $135
$100$1K$10K$100Kfacility $89professional $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
$37.15
Median
$177.83
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$37.15
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$128.82
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$63.10
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$53.70
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$50.12
Typical High
$112.20
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$50.12
Typical High
$112.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$72.44
Typical High
$213.80
Providence
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$19.95
Typical High
$50.12

Where Montana 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.

Montana· 23rd of 51

$48.98

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.