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Rapid Stool Test For C. Difficile Toxin

West Virginia 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?

$13.18

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $12.88 from a physician practice, and about $19.95 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$12.88$12.02 to $13.18
FacilityA hospital or hospital-owned outpatient department$19.95$13.18 to $23.99

How much rates vary

Facilitymedian $20 · 10th to 90th $13 to $24Professionalmedian $13 · 10th to 90th $7 to $13
$10$20$50facility $20professional $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
$13.18
Median
$19.95
Typical High
$23.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.88
Typical High
$13.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
CareSource
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$47.86
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$23.44
Typical High
$81.28
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$18.20
United
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.24
Typical High
$16.60

Where West Virginia 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.

West Virginia· 40th of 51

$13.18

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.