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Rapid Stool Test For C. Difficile Toxin

Pennsylvania 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?

$15.14

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $12.88 from a physician practice, and about $28.84 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$12.88$12.59 to $15.14
FacilityA hospital or hospital-owned outpatient department$28.84$19.50 to $46.77

How much rates vary

Facilitymedian $29 · 10th to 90th $13 to $69Professionalmedian $13 · 10th to 90th $10 to $27
$10$20$50$100facility $29professional $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
$13.49
Median
$28.84
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.88
Typical High
$38.02
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$79.43
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$23.44
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$17.78
Typical High
$28.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.55
Typical High
$22.91
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$15.85
Typical High
$27.54
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$28.84
Typical High
$57.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.88
Typical High
$46.77
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$48.98
Typical High
$83.18
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$15.85
Typical High
$16.22
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$15.85
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$10.23
Typical High
$23.99

Where Pennsylvania 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.

Pennsylvania· 32nd of 51

$15.14

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.