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Direct Test For Pneumocystis Pneumonia

New Hampshire 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 $38 · 10th–90th $17$690%10%20%10th90th$38Professionalmedian $12 · 10th–90th $7$500%10%20%10th90th$12$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
$16.60
Median
$41.69
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$51.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$23.44
Typical High
$67.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.76
Typical High
$22.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$45.71
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$12.30
Typical High
$34.67
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$20.89
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$9.55
Typical High
$33.88