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Rapid Stool Test For C. Difficile Toxin

Vermont 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?

$19.95

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $89.13 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$19.95$19.95 to $19.95
FacilityA hospital or hospital-owned outpatient department$89.13$15.85 to $195

How much rates vary

Facilitymedian $89 · 10th to 90th $6 to $204Professionalmedian $20 · 10th to 90th $10 to $20
$10.0$20.0$50.0$100.0$200.0facility $89professional $20

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
$19.95
Typical High
$19.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$18.62
Typical High
$22.91
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$16.60
Typical High
$35.48

Where Vermont sits

The same service costs 2.5 times more in North Dakota than in Connecticut. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Vermont $19.95 · 7th of 51
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.