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C. Diff Toxin Gene Test

Virginia 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?

$56.23

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $89.13 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 8 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$31.62$20.89 to $43.65
FacilityA hospital or hospital-owned outpatient department$89.13$50.12 to $191

How much rates vary

Facilitymedian $89 · 10th to 90th $37 to $275Professionalmedian $32 · 10th to 90th $17 to $95
$20$100$500$2K$10Kfacility $89professional $32

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
$51.29
Median
$144.54
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$33.11
Typical High
$95.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$28.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$147.91
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$89.13
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$27.54
Typical High
$72.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$44.67
Typical High
$54.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Medcost
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$54.95
Typical High
$89.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$77.62
Sentara
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$50.12
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$50.12
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$37.15
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$21.88
Typical High
$57.54

Where Virginia 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.

Virginia· 20th of 51

$56.23

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.