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Gene Activity Test For Lung Scarring

Connecticut 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?

$5,370

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $5,370 for this service. The price depends on where it is billed: about $3,715 from a physician practice, and about $7,762 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 5 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$3,715$3,311 to $7,079
FacilityA hospital or hospital-owned outpatient department$7,762$5,370 to $11,482

How much rates vary

Facilitymedian $7,762 · 10th to 90th $5,370 to $14,454Professionalmedian $3,715 · 10th to 90th $2,884 to $12,303
$2.0K$5.0K$10.0K$20.0Kfacility $7,762professional $3,715

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
$7,413.10
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,630.78
Typical High
$12,302.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$8,511.38
Typical High
$14,454.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$5,495.41
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$18,197.01
Typical High
$27,542.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$5,888.44
Typical High
$11,220.18
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$5,623.41
Typical High
$10,232.93
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$4,677.35
Typical High
$7,413.10

Where Connecticut 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.

Connecticut $5,370 · 21st 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.