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C. Diff Toxin Gene Test

Tennessee 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?

$47.86

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $107 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$33.11$28.84 to $47.86
FacilityA hospital or hospital-owned outpatient department$107$47.86 to $138

How much rates vary

Facilitymedian $107 · 10th to 90th $31 to $219Professionalmedian $33 · 10th to 90th $23 to $55
$20$50$100$200facility $107professional $33

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
$31.62
Median
$112.20
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$29.51
Typical High
$53.70
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$38.90
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$89.13
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$24.55
Typical High
$63.10
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$281.84
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$37.15
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$25.12
Typical High
$67.61

Where Tennessee 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.

Tennessee· 27th of 51

$47.86

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.