go back

Direct Test For Pneumocystis Pneumonia

New Mexico 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 $39 · 10th–90th $11$1020%10%10th90th$39Professionalmedian $9 · 10th–90th $7$790%20%10th90th$9$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$17.78
Median
$36.31
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.96
Typical High
$79.43
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$66.07
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$16.98
Typical High
$26.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$14.45
Typical High
$20.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$18.62
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$10.72
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$8.91