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Direct Test For Pneumocystis Pneumonia

Rhode Island 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 $36 · 10th–90th $14$760%20%10th90th$36Professionalmedian $13 · 10th–90th $9$220%20%40%10th90th$13$10.0$20.0$50.0

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
$36.31
Median
$48.98
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$36.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$14.45
Typical High
$16.22
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.91
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$28.84
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.59
Typical High
$18.20
United
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$12.59
Typical High
$23.44