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C. Diff Toxin Gene Test

South Carolina 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?

$77.62

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $178 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 6 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$48.98$29.51 to $77.62
FacilityA hospital or hospital-owned outpatient department$178$77.62 to $229

How much rates vary

Facilitymedian $178 · 10th to 90th $47 to $331Professionalmedian $49 · 10th to 90th $26 to $155
$20$50$100$200facility $178professional $49

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
$60.26
Median
$181.97
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$51.29
Typical High
$154.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$131.83
Typical High
$316.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$22.91
Typical High
$45.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$112.20
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$24.55
Typical High
$44.67
Medcost
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$35.48
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$37.15
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$24.55
Typical High
$60.26

Where South Carolina 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.

South Carolina· 12th of 51

$77.62

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.