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Stool Culture, Additional Intestinal Organisms

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $9.33 for this service. The price depends on where it is billed: about $9.33 from a physician practice, and about $38.02 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 5 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$9.33$8.32 to $11.22
FacilityA hospital or hospital-owned outpatient department$38.02$20.42 to $75.86

How much rates vary

Facilitymedian $38 · 10th to 90th $9 to $158Professionalmedian $9 · 10th to 90th $8 to $17
$5$10$20$50$100facility $38professional $9

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$9.33
Typical High
$16.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$72.44
Typical High
$158.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$22.91
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$13.49
Typical High
$16.60
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$3.09
United
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$3.31
United
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$11.75
Typical High
$25.70

Where Vermont 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.

Vermont· 42nd 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.