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Direct Test For Pneumocystis Pneumonia

Montana 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 $19 · 10th–90th $15$910%10%20%10th90th$19Professionalmedian $15 · 10th–90th $8$790%20%10th90th$15$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$79.43
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$46,773.51
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$20.42
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$17.38
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$16.98
Typical High
$37.15
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.98
Typical High
$37.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$23.44
Typical High
$67.61
Providence
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.92
Typical High
$16.60