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Direct Test For Pneumocystis Pneumonia

Washington 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 $20 · 10th–90th $11$650%10%20%10th90th$20Professionalmedian $11 · 10th–90th $7$250%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
$11.22
Median
$27.54
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$79.43
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$15.14
Typical High
$33.11
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.72
Typical High
$12.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$25.70
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$12.88
Typical High
$19.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.47
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$23.99
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$20.89
Typical High
$33.11
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$14.45
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$17.78
Typical High
$32.36
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.72
Typical High
$12.02
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$14.45
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.92
Typical High
$16.60
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.17
Typical High
$21.38