go back

Direct Test For Pneumocystis Pneumonia

South Carolina 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 $30 · 10th–90th $9$810%10%10th90th$30Professionalmedian $9 · 10th–90th $9$140%50%90th$9$5.0$10.0$20.0$50.0$100.0$200.0

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
$29.51
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$10.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$63.10
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$15.85
Typical High
$26.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$39.81
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.76
Typical High
$15.49
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$13.80
Typical High
$34.67
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$12.02
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$8.51
Typical High
$16.60