go back

Gene Activity Test For Lung Scarring

Georgia 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 October 2026.

How much does Gene Activity Test For Lung Scarring cost?

$5,495

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $5,495 for this service. The price depends on where it is billed: about $5,370 from a physician practice, and about $7,413 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,370$2,344 to $6,761
FacilityA hospital or hospital-owned outpatient department$7,413$5,495 to $12,023

How much rates vary

Facilitymedian $7,413 · 10th to 90th $4,266 to $18,621Professionalmedian $5,370 · 10th to 90th $1,660 to $11,220
$100$500$2K$10Kfacility $7,413professional $5,370

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,630.78
Median
$4,265.80
Typical High
$5,248.07
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$4,786.30
Median
$6,918.31
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$5,495.41
Typical High
$10,715.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$10,715.19
Typical High
$16,595.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$6,760.83
Typical High
$21,877.62
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$5,370.32
Median
$7,079.46
Typical High
$10,232.93
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$5,370.32
Median
$6,760.83
Typical High
$9,549.93
United
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$11,481.54
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,819.70
Median
$2,137.96
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$724.44
Median
$851.14
Typical High
$1,047.13

Where Georgia sits

The same service costs 6.2 times more in Texas than in Alabama. 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.

Georgia· 18th of 51

$5,495

TX $14,125AL $2,291

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.