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Gene Activity Test For Lung Scarring

Colorado 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 Colorado, July 2026.

Insurers have agreed to pay about $5,754 for this service. The price depends on where it is billed: about $4,169 from a physician practice, and about $13,490 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 7 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$4,169$3,311 to $4,467
FacilityA hospital or hospital-owned outpatient department$13,490$7,244 to $22,387

How much rates vary

Facilitymedian $13,490 · 10th to 90th $4,169 to $27,542Professionalmedian $4,169 · 10th to 90th $2,344 to $5,888
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $13,490professional $4,169

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
$3,467.37
Median
$12,022.64
Typical High
$25,703.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,168.69
Typical High
$5,888.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$16,218.10
Typical High
$27,542.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,344.23
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,548.13
Typical High
$16,595.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,951.21
Typical High
$7,943.28
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$5,370.32
Typical High
$8,317.64
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$7,585.78
Median
$7,762.47
Typical High
$18,620.87
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$10,000.00
Typical High
$11,481.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,370.32
Typical High
$8,128.31
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$5,495.41
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$4,073.80

Where Colorado 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.

Colorado $5,754 · 12th 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.