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Gene Activity Test For Lung Scarring

Alabama 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?

$4,266

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $4,266 for this service. The price depends on where it is billed: about $4,266 from a physician practice, and about $4,266 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 4 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$4,266$3,311 to $6,310
FacilityA hospital or hospital-owned outpatient department$4,266$204 to $6,310

How much rates vary

Facilitymedian $4,266 · 10th to 90th $178 to $6,310Professionalmedian $4,266 · 10th to 90th $3,311 to $6,310
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $4,266professional $4,266

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$6,309.57
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,265.80
Typical High
$6,309.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$4,570.88
Typical High
$11,748.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,511.89
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$4,897.79
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$5,495.41

Where Alabama sits

The same service costs 3.4 times more in Alaska than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alabama $4,266 · 45th of 51
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.