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C. Diff Toxin Gene Test

Vermont 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?

$40.74

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $40.74 from a physician practice, and about $209 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 5 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$40.74$24.55 to $44.67
FacilityA hospital or hospital-owned outpatient department$209$174 to $339

How much rates vary

Facilitymedian $209 · 10th to 90th $63 to $447Professionalmedian $41 · 10th to 90th $20 to $46
$20$50$100$200$500facility $209professional $41

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$40.74
Typical High
$45.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$338.84
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$51.29
Typical High
$72.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$50.12
Typical High
$95.50

Where Vermont 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.

Vermont· 42nd of 51

$40.74

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.