go back

C. Diff Toxin Gene Test

New Jersey 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?

$41.69

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $100 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$31.62$26.30 to $40.74
FacilityA hospital or hospital-owned outpatient department$100$52.48 to $186

How much rates vary

Facilitymedian $100 · 10th to 90th $37 to $316Professionalmedian $32 · 10th to 90th $23 to $71
$100$1K$10Kfacility $100professional $32

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
$100.00
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$37.15
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$83.18
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$39.81
Typical High
$97.72
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$39.81
Typical High
$60.26
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$9,332.54
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$37.15
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$22.39
Typical High
$50.12

Where New Jersey 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 Jersey· 37th of 51

$41.69

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.