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Direct Test For Pneumocystis Pneumonia

Michigan 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 $11 · 10th–90th $11$210%50%10th90th$11Professionalmedian $11 · 10th–90th $9$140%20%10th90th$11$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
$10.72
Median
$11.48
Typical High
$20.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$11.48
Typical High
$13.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$13.49
Typical High
$23.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.91
Typical High
$8.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$13.18
Typical High
$16.98
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$11.48
Typical High
$39.81
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$14.45
Typical High
$21.38
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$13.49
Typical High
$16.98
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$9.77
Typical High
$15.49