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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.

Facilitymedian $68 · 10th–90th $37$3090%10%10th90th$68Professionalmedian $36 · 10th–90th $26$1350%20%10th90th$36$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$141.25
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$36.31
Typical High
$223.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$128.82
Typical High
$87,096.36
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
$63.10
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