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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 July 2026.

Facilitymedian $11 · 10th–90th $11$650%50%90th$11Professionalmedian $36 · 10th–90th $12$480%10%20%10th90th$36$10.0$20.0$50.0$100.0

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
$51.29
Median
$85.11
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$39.81
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$13.49
Typical High
$16.98
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$12.02
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$38.90
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$45.71
Typical High
$77.62
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$26.92
Typical High
$26.92
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.02
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$16.60
Typical High
$93.33