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C. Diff Toxin Gene Test

Utah 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?

$158

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $34.67 from a physician practice, and about $245 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$34.67$33.11 to $42.66
FacilityA hospital or hospital-owned outpatient department$245$182 to $575

How much rates vary

Facilitymedian $245 · 10th to 90th $43 to $646Professionalmedian $35 · 10th to 90th $22 to $49
$20$50$100$200$500facility $245professional $35

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
$74.13
Median
$331.13
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$40.74
Typical High
$48.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$38.90
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$41.69
Typical High
$74.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$158.49
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$42.66
Select Health
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$33.11
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$20.89
Typical High
$44.67

Where Utah 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.

Utah· 2nd of 51

$158

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.