go back

Direct Test For Pneumocystis Pneumonia

Georgia 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 $16 · 10th–90th $10$300%10%20%10th90th$16Professionalmedian $10 · 10th–90th $6$230%10%20%10th90th$10$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
$9.55
Median
$18.62
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.23
Typical High
$28.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$15.85
Typical High
$21.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.24
Typical High
$22.91
CareSource
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$23.44
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$8.32
Typical High
$25.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.98
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$10.72
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$16.60