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Rapid Stool Test For C. Difficile Toxin

Kentucky rates for HCPCS 87803

A rapid laboratory test on a stool sample that looks for a toxin produced by Clostridioides difficile, a bacterium that can cause severe diarrhea, often after a course of antibiotics. The result is read visually and is available quickly.

Rates data updated July 2026.

How much does Rapid Stool Test For C. Difficile Toxin cost?

$12.88

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $12.88 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $15.85 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$12.59$9.77 to $14.79
FacilityA hospital or hospital-owned outpatient department$15.85$13.18 to $33.88

How much rates vary

Facilitymedian $16 · 10th to 90th $13 to $38Professionalmedian $13 · 10th to 90th $9 to $22
$10$20$50facility $16professional $13

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
$12.59
Median
$13.18
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$13.18
Typical High
$51.29
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$15.85
Typical High
$16.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.77
Typical High
$16.22
CareSource
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$19.05
Typical High
$22.39
CareSource
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$19.95
Typical High
$32.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$81.28
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$15.85
Typical High
$16.98
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.55
Typical High
$19.05

Where Kentucky sits

The same service costs 2.5 times more in North Dakota than in Connecticut. 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.

Kentucky· 44th of 51

$12.88

ND $26.92CT $10.96

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.