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C. Diff Toxin Gene Test

West 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?

$166

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $191 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$33.11$28.18 to $44.67
FacilityA hospital or hospital-owned outpatient department$191$93.33 to $245

How much rates vary

Facilitymedian $191 · 10th to 90th $72 to $316Professionalmedian $33 · 10th to 90th $25 to $45
$20$50$100$200$500facility $191professional $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
$72.44
Median
$190.55
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$33.11
Typical High
$44.67
CareSource
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
CareSource
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$44.67
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$75.86
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$177.83
Typical High
$177.83
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$20.89
Typical High
$50.12

Where West 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.

West Virginia· 1st of 51

$166

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.