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Direct Test For Pneumocystis Pneumonia

Missouri 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 $17 · 10th–90th $12$290%20%10th90th$17Professionalmedian $12 · 10th–90th $6$280%10%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
$11.75
Median
$20.89
Typical High
$27.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.75
Typical High
$28.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$41.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$10.23
Typical High
$30.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$22.91
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$11.22
Typical High
$31.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$22.91
Typical High
$70.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$12.02
Typical High
$14.79
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$8.91
Typical High
$15.85