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Stool Culture, Additional Intestinal Organisms

Kentucky 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?

$8.51

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $8.51 for this service. The price depends on where it is billed: about $8.32 from a physician practice, and about $22.91 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 6 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$8.32$5.62 to $9.33
FacilityA hospital or hospital-owned outpatient department$22.91$11.48 to $43.65

How much rates vary

Facilitymedian $23 · 10th to 90th $8 to $71Professionalmedian $8 · 10th to 90th $3 to $12
$2$5$10$20$50$100facility $23professional $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
$7.76
Median
$30.90
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$8.51
Typical High
$12.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$14.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$9.33
Typical High
$10.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.75
Typical High
$6.46
CareSource
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$12.88
Typical High
$13.18
CareSource
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$11.48
Typical High
$15.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$19.50
Typical High
$19.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$45.71
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$9.33
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$7.76
Typical High
$13.18

Where Kentucky 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.

Kentucky· 50th of 51

$8.51

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.