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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 July 2026.

Facilitymedian $25 · 10th–90th $9$420%10%10th90th$25Professionalmedian $9 · 10th–90th $5$140%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
$8.91
Median
$13.18
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$13.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$28.84
Typical High
$40.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$18.20
Typical High
$32.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$7.24
Typical High
$16.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$12.02
Typical High
$70.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.92
Typical High
$15.85
United
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$12.02
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.92
Typical High
$10.23