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Direct Test For Pneumocystis Pneumonia

Kansas 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 $26 · 10th–90th $12$600%10%10th90th$26Professionalmedian $10 · 10th–90th $8$240%20%40%10th90th$10$5.0$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
$12.88
Median
$26.30
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.47
Typical High
$12.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$57.54
Typical High
$60.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$19.50
Typical High
$27.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$13.49
Typical High
$40.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.96
Typical High
$36.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$9.77
Typical High
$20.89
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$10.00
Typical High
$21.38