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Direct Test For Pneumocystis Pneumonia

Texas 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 $24 · 10th–90th $9$680%5%10th90th$24Professionalmedian $9 · 10th–90th $7$170%10%10th90th$9$2.0$10.0$50.0$200.0$1.0K

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
$8.32
Median
$22.39
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$9.12
Typical High
$16.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$40.74
Typical High
$72.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.61
Typical High
$12.02
Christus
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$13.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$25.12
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.91
Typical High
$20.42
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$12.02
Typical High
$15.14
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$12.02
Typical High
$15.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.00
Typical High
$10.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$12.02
Typical High
$37.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.91
Typical High
$19.95
United
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$12.02
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$16.60
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$8.32
Typical High
$16.22