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Direct Test For Pneumocystis Pneumonia

Oklahoma 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 October 2026.

How much does Direct Test For Pneumocystis Pneumonia cost?

$12.02

Typical negotiated rate. In Oklahoma, October 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $6.92 from a physician practice, and about $21.38 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6.92$5.37 to $8.91
FacilityA hospital or hospital-owned outpatient department$21.38$14.13 to $32.36

How much rates vary

Facilitymedian $21 · 10th to 90th $9 to $42Professionalmedian $7 · 10th to 90th $5 to $13
$10$20$50facility $21professional $7

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$8.91
Median
$11.22
Typical High
$23.99
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$8.91
Typical High
$10.96
BCBS
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$30.90
Typical High
$41.69
BCBS
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$12.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.94
Median
$18.20
Typical High
$32.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.37
Median
$5.37
Typical High
$14.13
Medica
Setting
Facility
Modifier
None
Typical Low
$10.00
Median
$14.13
Typical High
$70.79
Medica
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$6.92
Typical High
$15.85
United
Setting
Facility
Modifier
None
Typical Low
$4.27
Median
$12.02
Typical High
$14.45
United
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$6.61
Typical High
$10.23

Where Oklahoma sits

The same service costs 4.5 times more in Kansas than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Oklahoma· 25th of 51

$12.02

KS $38.02NJ $8.51

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.