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Stool Culture, Additional Intestinal Organisms

West 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?

$38.90

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $7.76 from a physician practice, and about $53.70 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$7.76$7.08 to $9.12
FacilityA hospital or hospital-owned outpatient department$53.70$25.12 to $100

How much rates vary

Facilitymedian $54 · 10th to 90th $16 to $148Professionalmedian $8 · 10th to 90th $7 to $13
$5$10$20$50$100facility $54professional $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
$16.22
Median
$53.70
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.76
Typical High
$11.22
CareSource
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$19.50
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$18.20
Typical High
$45.71
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$54.95
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$10.96
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.50
Typical High
$13.18

Where West 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.

West Virginia· 1st of 51

$38.90

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.