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C. Diff Toxin Gene Test

North Dakota 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?

$138

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $182 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 5 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$83.18$63.10 to $162
FacilityA hospital or hospital-owned outpatient department$182$138 to $214

How much rates vary

Facilitymedian $182 · 10th to 90th $69 to $224Professionalmedian $83 · 10th to 90th $43 to $224
$50$100$200facility $182professional $83

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
$138.04
Median
$181.97
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$162.18
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$70.79
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$53.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$69.18
Typical High
$165.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$50.12
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$44.67
Typical High
$63.10

Where North Dakota 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 Dakota· 3rd of 51

$138

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.