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Direct Test For Pneumocystis Pneumonia

North Carolina 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 $21 · 10th–90th $10$1950%10%20%10th90th$21Professionalmedian $10 · 10th–90th $8$160%20%40%10th90th$10$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
Facility
Modifier
Global
Typical Low
$9.55
Median
$36.31
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$15.85
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$27.54
Typical High
$50.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.72
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$23.44
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$8.32
Typical High
$18.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$20.89
Typical High
$26.30
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$10.96
Typical High
$22.39
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.23
Typical High
$10.23
United
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$15.85
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.94
Typical High
$16.60
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79