go back

Direct Test For Pneumocystis Pneumonia

Nebraska 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 $36 · 10th–90th $8$1450%5%10%10th90th$36Professionalmedian $10 · 10th–90th $7$790%20%10th90th$10$5.0$10.0$20.0$50.0$100.0

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
$23.99
Median
$48.98
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$79.43
BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$37.15
Typical High
$87.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$18.62
Typical High
$19.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$22.91
Typical High
$28.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$15.14
Typical High
$70.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$7.24
Typical High
$15.49
Midlands
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$24.55
Midlands
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$10.72
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.24
Typical High
$23.99