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Stool Culture, Additional Intestinal Organisms

Virginia 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?

$9.33

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $9.33 for this service. The price depends on where it is billed: about $7.59 from a physician practice, and about $20.89 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 8 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$7.59$7.08 to $8.91
FacilityA hospital or hospital-owned outpatient department$20.89$9.33 to $37.15

How much rates vary

Facilitymedian $21 · 10th to 90th $9 to $59Professionalmedian $8 · 10th to 90th $5 to $14
$10$100$1K$10Kfacility $21professional $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
$8.91
Median
$24.55
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$8.13
Typical High
$11.22
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$38.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.68
Typical High
$6.92
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$47.86
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$23.99
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.31
Typical High
$10.72
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$11.22
Typical High
$14.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$15.85
Typical High
$18.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$15.14
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$19.95
Sentara
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$11.22
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$11.22
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$9.33
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.62
Typical High
$7.94

Where Virginia 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.

Virginia· 35th of 51

$9.33

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.