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California rates for HCPCS 87581

Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique

Facilitymedian $98 · 10th–90th $41$3240%5%10th90th$98Professionalmedian $42 · 10th–90th $24$1150%10%10th90th$42$10.0$50.0$200.0$1.0K$5.0K

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
$42.66 / $109.65 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $41.69 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $81.28 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $50.12 / $104.71
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $208.93 / $562.34
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $39.81 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $63.10 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $30.20 / $109.65
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $35.48 / $47.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $38.90 / $61.66
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $229.09
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $56.23 / $107.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $38.90 / $95.50
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $38.90 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $35.48 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $20.89 / $77.62