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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 July 2026.

Facilitymedian $20 · 10th–90th $11$210%20%40%10th90th$20Professionalmedian $14 · 10th–90th $9$250%20%10th90th$14$10.0$20.0

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
$21.38
Typical High
$24.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$13.80
Typical High
$24.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$13.18
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$12.88
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$12.02
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$8.51
Typical High
$24.55