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Gene Activity Test For Lung Scarring

Delaware 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?

$3,631

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $3,631 for this service. Most negotiated rates run $2,884 to $6,166.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,166 · 10th to 90th $6,166 to $6,166Professionalmedian $3,631 · 10th to 90th $2,884 to $16,596
$5.0K$10.0Kfacility $6,166professional $3,631

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
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,630.78
Typical High
$16,595.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,818.38
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$8,317.64

Where Delaware 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.

Delaware $3,631 · 50th 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.