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Gene Activity Test For Lung Scarring

Alaska rates for HCPCS 81554

A laboratory test performed on small pieces of lung tissue that measures the activity of a large set of genes and turns the pattern into a single categorical answer. The result helps doctors work out whether a particular scarring pattern is present in the lungs, so a diagnosis can often be reached without a larger surgical lung biopsy.

Rates data updated July 2026.

How much does Gene Activity Test For Lung Scarring cost?

$12,303

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $12,303 for this service. The price depends on where it is billed: about $12,303 from a physician practice, and about $21,380 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12,303$8,128 to $18,621
FacilityA hospital or hospital-owned outpatient department$21,380$18,621 to $39,811

How much rates vary

Facilitymedian $21,380 · 10th to 90th $5,370 to $64,565Professionalmedian $12,303 · 10th to 90th $3,890 to $18,621
$5K$10K$20K$50Kfacility $21,380professional $12,303

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$23,988.33
Median
$39,810.72
Typical High
$64,565.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$16,595.87
Typical High
$36,307.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$15,135.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$6,025.60
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$18,620.87
Typical High
$26,302.68
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$17,378.01
Typical High
$17,378.01
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$19,952.62
Typical High
$21,877.62
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$12,302.69
Typical High
$12,302.69
Providence
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$15,135.61
Typical High
$26,302.68
Providence
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$5,495.41
Typical High
$16,595.87

Where Alaska sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

Alaska· 1st of 51

$12,303

AK $12,303NE $3,631

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.