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Stool Culture, Additional Intestinal Organisms

Illinois rates for HCPCS 87046

When a stool culture grows bacteria beyond the two most common intestinal disease-causing types, this covers the extra laboratory work of isolating and identifying each additional organism found. It is billed alongside the primary stool culture, not as a stand-alone test. This more thorough identification helps pinpoint a less common cause of an intestinal infection.

Rates data updated July 2026.

How much does Stool Culture, Additional Intestinal Organisms cost?

$15.85

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $7.94 from a physician practice, and about $29.51 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 7 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$7.94$7.24 to $10.96
FacilityA hospital or hospital-owned outpatient department$29.51$15.85 to $56.23

How much rates vary

Facilitymedian $30 · 10th to 90th $10 to $81Professionalmedian $8 · 10th to 90th $3 to $19
$5$10$20$50$100facility $30professional $8

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
$9.77
Median
$33.11
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$8.51
Typical High
$21.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$5.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$25.12
Typical High
$97.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$6.46
Typical High
$7.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$21.88
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$10.72
Typical High
$16.98
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$17.78
Typical High
$131.83
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$11.75
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$9.33
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$6.61
Typical High
$9.33

Where Illinois sits

The same service costs 4.7 times more in West Virginia than in Washington, DC. 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.

Illinois· 10th of 51

$15.85

WV $38.90DC $8.32

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.