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Direct Test For Pneumocystis Pneumonia

Massachusetts 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 $30 · 10th–90th $11$710%10%10th90th$30Professionalmedian $12 · 10th–90th $10$350%50%10th90th$12$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$12.02
Median
$30.20
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.22
Typical High
$51.29
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$70.79
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$29.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$29.51
Typical High
$46.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$19.05
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$13.49
Typical High
$31.62
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$91.20
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$20.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$34.67
Health New England
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$70.79
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$12.02
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$30.20