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Direct Test For Pneumocystis Pneumonia

Illinois 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 $22 · 10th–90th $11$660%10%10th90th$22Professionalmedian $9 · 10th–90th $3$250%20%10th90th$9$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
$10.23
Median
$19.95
Typical High
$35.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.23
Typical High
$25.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$32.36
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$8.32
Typical High
$9.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$27.54
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$13.80
Typical High
$21.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$23.99
Typical High
$151.36
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$12.02
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$8.91
Typical High
$16.60