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Gene Activity Test For Lung Scarring

Washington, DC 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?

$4,169

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $4,169 for this service. The price depends on where it is billed: about $4,169 from a physician practice, and about $4,169 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$4,169$4,074 to $4,169
FacilityA hospital or hospital-owned outpatient department$4,169$4,169 to $6,457

How much rates vary

Facilitymedian $4,169 · 10th to 90th $4,169 to $9,120Professionalmedian $4,169 · 10th to 90th $3,890 to $4,266
$5K$10K$20Kfacility $4,169professional $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. 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
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,168.69
Typical High
$4,265.80
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$5,248.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$9,120.11
Typical High
$20,892.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$6,309.57
Typical High
$25,118.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$11,220.18
Typical High
$11,220.18
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$6,456.54
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,454.71
Typical High
$5,128.61

Where Washington, DC 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.

Washington, DC· 47th of 51

$4,169

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.