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Genetic Test For Mycoplasma Pneumoniae

Colorado rates for HCPCS 87581

A laboratory test that looks for the genetic material of Mycoplasma pneumoniae, a bacterium behind chest infections and the milder pneumonia people often call walking pneumonia. The sample comes from the airway, such as a throat or nose swab or coughed-up phlegm, and the laboratory makes many copies of any genetic material present so even a small amount of the organism shows up. This organism grows very poorly in culture, so looking for its genetic material is the practical way to confirm it.

Facilitymedian $98 · 10th–90th $27$2880%5%10%10th90th$98Professionalmedian $32 · 10th–90th $22$580%10%10th90th$32$10.0$50.0$200.0$1.0K

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
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$97.72
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$32.36
Typical High
$57.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$102.33
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$35.48
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$24.55
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$22.91
Typical High
$64.57
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$50.12
Typical High
$52.48
Select Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$35.48
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.42
Typical High
$35.48