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C. Diff Toxin Gene Test

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $138 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 8 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$29.51 to $48.98
FacilityA hospital or hospital-owned outpatient department$138$81.28 to $166

How much rates vary

Facilitymedian $138 · 10th to 90th $37 to $224Professionalmedian $37 · 10th to 90th $26 to $110
$20$50$100$200$500facility $138professional $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
$138.04
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$109.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$69.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$85.11
Typical High
$100.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$29.51
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$81.28
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$26.30
Typical High
$69.18
Medcost
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$50.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$38.02
Typical High
$70.79
Medcost
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$45.71
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$22.39
Typical High
$56.23
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$281.84

Where North Carolina 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.

North Carolina· 25th 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.