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Direct Test For Pneumocystis Pneumonia

Hawaii 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 $12 · 10th–90th $10$140%20%40%10th90th$12Professionalmedian $22 · 10th–90th $14$300%10%10th90th$22$10.0$20.0

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
$9.77
Median
$11.75
Typical High
$14.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$14.45
HMSA
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$26.92
Typical High
$29.51
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.45
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$16.60
Typical High
$23.44
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$21.88
Typical High
$30.90