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Direct Test For Pneumocystis Pneumonia

Iowa 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 $23 · 10th–90th $9$1000%10%20%10th90th$23Professionalmedian $12 · 10th–90th $8$790%10%20%10th90th$12$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
$9.12
Median
$28.18
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.12
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$22.91
Typical High
$28.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$29.51
Typical High
$83.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$15.49
Typical High
$37.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$14.45
Typical High
$31.62
Midlands
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.85
Typical High
$15.85
Midlands
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$10.00
Typical High
$30.20
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$12.02
Typical High
$12.02