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Gene Activity Test For Lung Scarring

Florida 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?

$3,981

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $3,981 for this service. The price depends on where it is billed: about $3,890 from a physician practice, and about $8,913 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$3,890$3,311 to $4,467
FacilityA hospital or hospital-owned outpatient department$8,913$4,677 to $14,791

How much rates vary

Facilitymedian $8,913 · 10th to 90th $3,981 to $29,512Professionalmedian $3,890 · 10th to 90th $2,884 to $5,370
$10.0$100.0$1.0K$10.0Kfacility $8,913professional $3,890

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
$3,981.07
Median
$8,912.51
Typical High
$29,512.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,890.45
Typical High
$4,897.79
AvMed
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$5,370.32
Typical High
$6,309.57
AvMed
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$5,370.32
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$4,168.69
Typical High
$21,877.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$4,073.80
Typical High
$9,549.93
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$4,677.35
Molina
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$4,365.16
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$4,897.79
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,344.23
Typical High
$7,244.36
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$5,370.32

Where Florida 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.

Florida $3,981 · 49th 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.