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Direct Test For Pneumocystis Pneumonia

Wyoming 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 $12$250%20%40%10th90th$20Professionalmedian $17 · 10th–90th $12$380%20%10th90th$17$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$24.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$19.05
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$8.32
Typical High
$19.50
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$16.60