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Direct Test For Pneumocystis Pneumonia

Arkansas 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?

$13.80

Typical negotiated rate. In Arkansas, October 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $13.80 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.02$7.41 to $17.78
FacilityA hospital or hospital-owned outpatient department$13.80$13.80 to $18.62

How much rates vary

Facilitymedian $14 · 10th to 90th $14 to $19Professionalmedian $12 · 10th to 90th $5 to $19
$5$10$20facility $14professional $12

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$19.05
Aetna
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$18.62
Typical High
$18.62
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$4.68
Median
$9.33
Typical High
$9.33
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.91
Median
$3.72
Typical High
$3.72
BCBS Arkansas
Setting
Facility
Modifier
None
Typical Low
$13.80
Median
$13.80
Typical High
$18.62
BCBS Arkansas
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$12.02
Typical High
$17.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$10.23
Median
$14.79
Typical High
$30.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$8.51
Typical High
$16.98
United
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$12.02
United
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$7.41
Typical High
$16.60

Where Arkansas 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.

Arkansas· 19th of 51

$13.80

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.