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Direct Test For Pneumocystis Pneumonia

Alaska 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 October 2026.

How much does Direct Test For Pneumocystis Pneumonia cost?

$26.92

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $45.71 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$26.92$16.60 to $33.11
FacilityA hospital or hospital-owned outpatient department$45.71$33.11 to $85.11

How much rates vary

Facilitymedian $46 · 10th to 90th $12 to $141Professionalmedian $27 · 10th to 90th $12 to $48
$10$20$50$100facility $46professional $27

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$85.11
Typical High
$147.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$147.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$13.49
Typical High
$16.98
Moda Health
Setting
Facility
Modifier
None
Typical Low
$10.96
Median
$12.02
Typical High
$141.25
Moda Health
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$38.90
Typical High
$85.11
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$44.67
Typical High
$77.62
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$26.92
Typical High
$26.92
Providence
Setting
Facility
Modifier
None
Typical Low
$10.96
Median
$33.11
Typical High
$58.88
Providence
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$12.02
Typical High
$15.49
United
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$23.99
Typical High
$93.33

Where Alaska sits

The same service costs 4.5 times more in Kansas than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 2nd of 51

$26.92

KS $38.02NJ $8.51

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.