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Direct Test For Pneumocystis Pneumonia

Idaho 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 $21 · 10th–90th $12$510%20%10th90th$21Professionalmedian $12 · 10th–90th $8$230%20%10th90th$12$10.0$20.0$50.0

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
$21.38
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$13.80
Typical High
$23.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$32.36
Typical High
$58.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.02
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$25.12
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$8.91
Typical High
$16.98
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$15.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$14.45
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$23.99
Typical High
$42.66
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$10.23
Typical High
$12.59
Select Health
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$43.65
Select Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$19.95