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Direct Test For Pneumocystis Pneumonia

Utah 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 $44 · 10th–90th $14$1070%20%10th90th$44Professionalmedian $11 · 10th–90th $9$150%20%10th90th$11$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
$15.14
Median
$81.28
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$11.22
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$12.59
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.32
Typical High
$22.91
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$53.70
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.23
Typical High
$10.72
Select Health
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Select Health
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$12.02
Typical High
$15.49
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.02
Typical High
$17.78
United
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.76
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$16.60