go back

Genetic Test For Mycoplasma Pneumoniae

Connecticut 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 $63 · 10th–90th $35$1350%10%10th90th$63Professionalmedian $31 · 10th–90th $24$910%10%20%10th90th$31$10.0$20.0$50.0$100.0$200.0

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
$35.48
Median
$63.10
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$30.90
Typical High
$91.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$56.23
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$45.71
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$56.23
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$38.02
Typical High
$81.28
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$39.81
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$29.51
Typical High
$58.88