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Direct Test For Pneumocystis Pneumonia

Nationwide rates for HCPCS 87281

A laboratory test that looks directly for Pneumocystis, a fungus that causes serious pneumonia in people whose immune systems are weakened, in a sample of sputum or fluid washed from the lungs. Antibodies tagged with a fluorescent dye attach to the organism, making it visible under a special microscope. It gives a rapid answer because this organism cannot be grown in ordinary culture.

Rates data updated July 2026.

Facilitymedian $21 · 10th–90th $10$660%10%10th90th$21Professionalmedian $10 · 10th–90th $6$250%20%10th90th$10$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$10.23
Median
$21.88
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.23
Typical High
$24.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$17.78
Typical High
$54.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.76
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$24.55
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$14.45
Typical High
$28.18
United
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$12.02
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$18.20