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Direct Test For Pneumocystis Pneumonia

Maine 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 $19 · 10th–90th $12$1070%20%40%10th90th$19Professionalmedian $12 · 10th–90th $6$150%20%10th90th$12$5.0$10.0$20.0$50.0$100.0

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
$12.02
Median
$12.02
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.77
Typical High
$12.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$107.15
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.92
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$16.98
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.02
Typical High
$16.98
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$12.02
Typical High
$14.45
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$53.70
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.02
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$23.44