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Pennsylvania rates for HCPCS 87109

Culture, mycoplasma, any source

Facilitymedian $52 · 10th–90th $13–$1480%20%10th90th$52Professionalmedian $14 · 10th–90th $10–$220%20%40%10th90th$14$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $56.23 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $13.80 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $74.13 / $2,630.27
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $107.15 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $23.44 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $19.95 / $37.15
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $9.12 / $22.39
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $17.38 / $26.92
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $38.90 / $120.23
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.48 / $15.14
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $63.10 / $147.91
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $23.44 / $44.67
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $19.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $16.22 / $52.48
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $16.22 / $17.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $15.49 / $18.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $10.23 / $26.92