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C. Diff Toxin Gene Test

New Hampshire 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?

$39.81

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $72.44 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$37.15$24.55 to $56.23
FacilityA hospital or hospital-owned outpatient department$72.44$52.48 to $195

How much rates vary

Facilitymedian $72 · 10th to 90th $30 to $309Professionalmedian $37 · 10th to 90th $24 to $132
$20$50$100$200$500facility $72professional $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
$29.51
Median
$63.10
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$29.51
Typical High
$245.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$72.44
Typical High
$213.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$23.99
Typical High
$35.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$141.25
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$38.90
Typical High
$107.15
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$37.15
Typical High
$131.83

Where New Hampshire 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.

New Hampshire· 46th of 51

$39.81

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.