go back

Gene Activity Test For Lung Scarring

California 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?

$5,754

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $5,754 for this service. The price depends on where it is billed: about $4,677 from a physician practice, and about $12,882 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 9 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$4,677$3,311 to $7,943
FacilityA hospital or hospital-owned outpatient department$12,882$8,710 to $23,442

How much rates vary

Facilitymedian $12,882 · 10th to 90th $4,677 to $32,359Professionalmedian $4,677 · 10th to 90th $2,291 to $26,915
$100.0$1.0K$10.0K$100.0Kfacility $12,882professional $4,677

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
$6,760.83
Median
$12,302.69
Typical High
$32,359.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,677.35
Typical High
$36,307.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$13,803.84
Typical High
$27,542.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,311.31
Typical High
$10,715.19
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$23,442.29
Typical High
$54,954.09
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$7,762.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$9,772.37
Typical High
$19,498.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,801.89
Typical High
$15,848.93
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$5,888.44
Typical High
$7,244.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$5,888.44
Typical High
$9,549.93
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$25,703.96
Typical High
$25,703.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$26,915.35
Median
$40,738.03
Typical High
$40,738.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$6,456.54
Typical High
$14,454.40
Providence
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$5,754.40
Typical High
$11,748.98
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$5,370.32
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$11,481.54

Where California 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.

California $5,754 · 13th 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.