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Direct Test For Pneumocystis Pneumonia

Indiana 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 $12$470%20%40%10th90th$12Professionalmedian $10 · 10th–90th $6$120%20%40%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
$11.75
Median
$16.60
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.77
Typical High
$11.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$36.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$6.76
Typical High
$12.02
CareSource
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$12.02
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.72
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$12.02
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$9.12
Typical High
$13.18