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Direct Test For Pneumocystis Pneumonia

Arizona 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 $25 · 10th–90th $10$520%10%10th90th$25Professionalmedian $10 · 10th–90th $6$790%20%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
$17.38
Median
$26.30
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.55
Typical High
$79.43
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$30.20
Typical High
$56.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.00
Typical High
$48.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$12.59
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.72
Typical High
$18.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$10.96
Typical High
$70.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$16.60
United
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$12.02
Typical High
$15.14
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$16.60