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Direct Test For Pneumocystis Pneumonia

Mississippi 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 October 2026.

How much does Direct Test For Pneumocystis Pneumonia cost?

$20.42

Typical negotiated rate. In Mississippi, October 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $12.88 from a physician practice, and about $20.42 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.88$8.13 to $20.42
FacilityA hospital or hospital-owned outpatient department$20.42$20.42 to $20.42

How much rates vary

Facilitymedian $20 · 10th to 90th $12 to $21Professionalmedian $13 · 10th to 90th $6 to $22
$10$20facility $20professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$21.38
Typical High
$24.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$21.38
Typical High
$24.55
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$4.68
Median
$10.72
Typical High
$12.02
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.91
Median
$4.27
Typical High
$4.90
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
BCBS Mississippi
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.76
Median
$12.30
Typical High
$23.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$12.02
Typical High
$22.91
United
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$14.45
United
Setting
Professional
Modifier
None
Typical Low
$5.37
Median
$8.13
Typical High
$24.55

Where Mississippi sits

The same service costs 4.5 times more in Kansas than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Mississippi· 4th of 51

$20.42

KS $38.02NJ $8.51

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.