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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 October 2026.

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

$13.49

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $13.49 for this service. The price depends on where it is billed: about $12.88 from a physician practice, and about $24.55 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.88$10.23 to $15.85
FacilityA hospital or hospital-owned outpatient department$24.55$15.85 to $54.95

How much rates vary

Facilitymedian $25 · 10th to 90th $13 to $81Professionalmedian $13 · 10th to 90th $7 to $20
$10$100$1Kfacility $25professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$13.49
Typical High
$46.77
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$12.88
Typical High
$13.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$5.89
Median
$6.46
Typical High
$6.76
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.34
Median
$2.57
Typical High
$2.69
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$81.28
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$13.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$10.96
Median
$23.44
Typical High
$47.86
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.41
Median
$15.49
Typical High
$28.84
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$7.59
Typical High
$22.91
Geisinger
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Geisinger
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$13.49
Typical High
$23.99
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$54.95
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$13.49
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$6.46
Median
$6.46
Typical High
$6.76
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.57
Median
$2.57
Typical High
$2.69
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$39.81
Typical High
$83.18
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$15.85
Typical High
$15.85
United
Setting
Facility
Modifier
None
Typical Low
$14.45
Median
$15.85
Typical High
$19.05
United
Setting
Professional
Modifier
None
Typical Low
$6.76
Median
$10.23
Typical High
$23.99

Where Pennsylvania sits

The same service costs 3.5 times more in Alaska than in Alabama. 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· 30th of 51

$13.49

AK $36.31AL $10.47

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.