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Direct Test For Pneumocystis Pneumonia

Connecticut 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 $12$330%10%20%10th90th$19Professionalmedian $11 · 10th–90th $6$150%50%10th90th$11$5.0$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
$12.02
Median
$17.38
Typical High
$35.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$10.72
Typical High
$12.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$18.62
Typical High
$32.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.24
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$19.50
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$18.62
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$12.02
Typical High
$17.78
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$12.02
Typical High
$20.89