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C. Diff Toxin Gene Test

Oregon 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 Oregon, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $69.18 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$41.69$37.15 to $56.23
FacilityA hospital or hospital-owned outpatient department$69.18$37.15 to $141

How much rates vary

Facilitymedian $69 · 10th to 90th $37 to $191Professionalmedian $42 · 10th to 90th $32 to $155
$20$50$100$200facility $69professional $42

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
$57.54
Median
$147.91
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$48.98
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$40.74
Typical High
$67.61
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$81.28
Typical High
$97.72
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$37.15
Typical High
$64.57
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$44.67
Typical High
$57.54
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$75.86
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$75.86
Providence
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$53.70
Typical High
$109.65
Providence
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$48.98
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$112.20
Typical High
$147.91
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$31.62
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$19.95
Typical High
$50.12

Where Oregon 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.

Oregon· 24th 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.