go back

Direct Test For Pneumocystis Pneumonia

Alabama 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 $13 · 10th–90th $10$180%20%10th90th$13Professionalmedian $11 · 10th–90th $8$140%20%10th90th$11$5.0$20.0$100.0$500.0$2.0K

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
$12.02
Median
$13.80
Typical High
$23.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$11.22
Typical High
$13.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$11.75
Typical High
$15.85
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.94
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$12.59
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$7.24
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$10.72
Typical High
$15.14
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$16.60