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Genetic Test For Mycoplasma Pneumoniae

Utah 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.

Rates data updated July 2026.

Facilitymedian $182 · 10th–90th $35$4680%20%10th90th$182Professionalmedian $35 · 10th–90th $21$500%10%20%10th90th$35$20.0$50.0$100.0$200.0$500.0

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
$34.67
Median
$186.21
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$38.02
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$36.31
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$41.69
Typical High
$70.79
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$158.49
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$42.66
Select Health
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$30.90
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$48.98