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Genetic Test For Mycoplasma Pneumoniae

Rhode Island 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 $105 · 10th–90th $58$2240%10%10th90th$105Professionalmedian $31 · 10th–90th $24$870%10%20%10th90th$31$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
$57.54
Median
$104.71
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$31.62
Typical High
$87.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$42.66
Typical High
$70.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$26.30
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$27.54
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$29.51
Typical High
$69.18