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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 October 2026.

How much does Direct Test For Pneumocystis Pneumonia cost?

$16.60

Typical negotiated rate. In Wyoming, October 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $15.14 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$16.60$15.14 to $38.02
FacilityA hospital or hospital-owned outpatient department$15.14$12.02 to $17.78

How much rates vary

Facilitymedian $15 · 10th to 90th $12 to $24Professionalmedian $17 · 10th to 90th $8 to $38
$10$20facility $15professional $17

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$17.78
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$19.05
Typical High
$38.02
BCBS Wyoming
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.47
Median
$13.18
Typical High
$26.30
BCBS Wyoming
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$3.02
Median
$3.80
Typical High
$7.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.41
Median
$8.13
Typical High
$16.98
United
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$7.08
Typical High
$16.60

Where Wyoming sits

The same service costs 4.5 times more in Kansas than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wyoming· 9th of 51

$16.60

KS $38.02NJ $8.51

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.