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Direct Test For Pneumocystis Pneumonia

North Dakota 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 $9 · 10th–90th $8$210%50%10th90th$9Professionalmedian $20 · 10th–90th $8$280%10%10th90th$20$10.0$20.0$50.0

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
$8.32
Median
$8.32
Typical High
$21.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$36.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$22.91
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$17.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$14.13
Typical High
$70.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$8.32
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$12.59
Typical High
$19.50