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Direct Test For Pneumocystis Pneumonia

Washington, DC 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 $20 · 10th–90th $9$760%20%10th90th$20Professionalmedian $9 · 10th–90th $9$380%50%90th$9$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
$8.91
Median
$40.74
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$56.23
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$20.42
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$13.49
Typical High
$93.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$14.45
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.59
Typical High
$18.62