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Stool Culture, Additional Intestinal Organisms

New Jersey 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?

$11.22

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $8.32 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$8.32$7.24 to $10.96
FacilityA hospital or hospital-owned outpatient department$29.51$15.49 to $74.13

How much rates vary

Facilitymedian $30 · 10th to 90th $10 to $102Professionalmedian $8 · 10th to 90th $6 to $11
$10$100$1K$10Kfacility $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
$12.02
Median
$30.20
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$8.51
Typical High
$11.22
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.61
Typical High
$6.61
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$25.70
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$20.89
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$9.33
Typical High
$26.30
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$4.47
Typical High
$10.72
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$8.32
Typical High
$10.47
United
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$9.33
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.62
Typical High
$13.80

Where New Jersey 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.

New Jersey· 27th of 51

$11.22

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.