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Direct Test For Pneumocystis Pneumonia

Minnesota 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 $32 · 10th–90th $12$870%20%10th90th$32Professionalmedian $12 · 10th–90th $10$170%20%40%10th90th$12$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
$11.22
Median
$11.22
Typical High
$11.22
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.22
Typical High
$36.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$69.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$12.02
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$40.74
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$17.38
Typical High
$22.91
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$38.02
Typical High
$87.10
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$22.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$23.44
Typical High
$70.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.32
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$12.02
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$12.02
Typical High
$26.92