go back

C. Diff Toxin Gene Test

Rhode Island 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?

$36.31

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $105 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 4 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$28.18$24.55 to $36.31
FacilityA hospital or hospital-owned outpatient department$105$57.54 to $158

How much rates vary

Facilitymedian $105 · 10th to 90th $44 to $224Professionalmedian $28 · 10th to 90th $25 to $50
$20$50$100$200facility $105professional $28

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
$97.72
Median
$141.25
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$36.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$44.67
Typical High
$70.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$48.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$27.54
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$30.20
Typical High
$69.18

Where Rhode Island 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.

Rhode Island· 50th of 51

$36.31

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.