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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 October 2026.

How much does Direct Test For Pneumocystis Pneumonia cost?

$9.77

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $7.24 from a physician practice, and about $33.11 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.24$7.24 to $12.02
FacilityA hospital or hospital-owned outpatient department$33.11$28.18 to $48.98

How much rates vary

Facilitymedian $33 · 10th to 90th $7 to $78Professionalmedian $7 · 10th to 90th $7 to $28
$5$10$20$50$100facility $33professional $7

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$7.94
Median
$28.18
Typical High
$58.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$7.94
Typical High
$10.96
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$37.15
Typical High
$79.43
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$14.79
Typical High
$28.18
Medica
Setting
Facility
Modifier
None
Typical Low
$7.24
Median
$29.51
Typical High
$70.79
Medica
Setting
Professional
Modifier
None
Typical Low
$7.24
Median
$7.24
Typical High
$46.77
Midlands
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$14.79
Typical High
$21.88
Midlands
Setting
Facility
Modifier
None
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
United
Setting
Facility
Modifier
None
Typical Low
$4.27
Median
$5.01
Typical High
$7.24
United
Setting
Professional
Modifier
None
Typical Low
$6.76
Median
$7.24
Typical High
$23.99

Where Nebraska sits

The same service costs 4.5 times more in Kansas than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Nebraska· 40th of 51

$9.77

KS $38.02NJ $8.51

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.