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Stool Culture, Additional Intestinal Organisms

South Dakota 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?

$17.78

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $58.88 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$15.85$8.51 to $61.66
FacilityA hospital or hospital-owned outpatient department$58.88$17.78 to $58.88

How much rates vary

Facilitymedian $59 · 10th to 90th $12 to $66Professionalmedian $16 · 10th to 90th $7 to $62
$5$10$20$50$100$200facility $59professional $16

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
$38.90
Median
$58.88
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$8.91
Typical High
$61.66
Avera
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$9.55
Typical High
$14.13
Avera
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$9.55
Typical High
$10.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$17.78
Typical High
$22.39
Medica
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$26.30
Typical High
$43.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$5.62
Typical High
$9.33
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$21.88
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
United
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$8.51
Typical High
$13.18
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33

Where South Dakota 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.

South Dakota· 5th of 51

$17.78

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.