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Direct Test For Pneumocystis Pneumonia

Tennessee 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 $18 · 10th–90th $9$510%10%20%10th90th$18Professionalmedian $9 · 10th–90th $9$140%50%90th$9$5.0$10.0$20.0$50.0$100.0

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
$8.91
Median
$18.20
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$11.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$15.49
Typical High
$15.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$25.12
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$9.12
Typical High
$18.20
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$12.02
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$8.91
Typical High
$16.60