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Direct Test For Pneumocystis Pneumonia

New York 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 $20 · 10th–90th $9$330%10%10th90th$20Professionalmedian $9 · 10th–90th $6$210%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
$9.77
Median
$20.42
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.55
Typical High
$15.85
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$30.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$25.70
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$12.02
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.02
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$26.30
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$21.38
Typical High
$81.28
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$15.49
Typical High
$33.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$8.13
Typical High
$23.44
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.96
Typical High
$15.14
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$21.38
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$14.13
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$14.45
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$9.55
Typical High
$27.54
Univera
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$9.77
Typical High
$27.54
Univera
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$12.02
Typical High
$38.02