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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 July 2026.

Facilitymedian $19 · 10th–90th $14$210%20%40%10th90th$19Professionalmedian $10 · 10th–90th $8$190%20%40%10th90th$10$5.0$10.0$20.0$50.0

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
$18.62
Median
$18.62
Typical High
$20.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.77
Typical High
$19.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$18.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$17.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$15.85
Typical High
$32.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$13.49
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$12.02
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$16.60