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Direct Test For Pneumocystis Pneumonia

New Jersey 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 $27 · 10th–90th $12$1510%10%10th90th$27Professionalmedian $10 · 10th–90th $6$320%20%40%10th90th$10$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$15.49
Median
$25.12
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.77
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$26.92
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$10.96
Typical High
$33.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.03
Typical High
$13.49
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$10.47
Typical High
$12.30
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$12.02
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$16.60