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Direct Test For Pneumocystis Pneumonia

Nevada 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 $19 · 10th–90th $9$890%10%10th90th$19Professionalmedian $10 · 10th–90th $8$150%20%40%10th90th$10$0.2$1.0$5.0$20.0$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
$9.33
Median
$22.91
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.77
Typical High
$15.14
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$10.00
Typical High
$28.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.24
Typical High
$9.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$14.13
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.72
Typical High
$16.98
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.14
Median
$12.02
Typical High
$19.50
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
Select Health
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Select Health
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$8.32
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$13.18
Typical High
$30.90