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Direct Test For Pneumocystis Pneumonia

Florida 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 $28 · 10th–90th $11$590%10%10th90th$28Professionalmedian $10 · 10th–90th $9$130%20%10th90th$10$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$10.72
Median
$33.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$10.47
Typical High
$13.49
AvMed
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$12.02
Typical High
$14.13
AvMed
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.02
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$14.79
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$12.59
Typical High
$23.99
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$22.39
Typical High
$22.39
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$16.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$5.75
Typical High
$7.59
United
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$10.72
Typical High
$14.79
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$16.60
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$12.02