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C. Diff Toxin Gene Test

South Dakota 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?

$138

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $182 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 7 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$75.86$40.74 to $162
FacilityA hospital or hospital-owned outpatient department$182$138 to $214

How much rates vary

Facilitymedian $182 · 10th to 90th $72 to $224Professionalmedian $76 · 10th to 90th $31 to $224
$50$100$200facility $182professional $76

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
$89.13
Median
$181.97
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$147.91
Typical High
$223.87
Avera
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$38.02
Typical High
$56.23
Avera
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$72.44
Typical High
$89.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$56.23
Typical High
$131.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$24.55
Typical High
$194.98
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$33.88
Typical High
$60.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15

Where South Dakota 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 Dakota· 4th of 51

$138

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.