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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 July 2026.

How much does Gene Activity Test For Lung Scarring cost?

$5,495

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $5,495 for this service. The price depends on where it is billed: about $5,248 from a physician practice, and about $7,413 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 6 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$5,248$3,631 to $5,495
FacilityA hospital or hospital-owned outpatient department$7,413$5,495 to $9,772

How much rates vary

Facilitymedian $7,413 · 10th to 90th $4,365 to $13,804Professionalmedian $5,248 · 10th to 90th $3,236 to $8,710
$100.0$1.0K$10.0K$100.0Kfacility $7,413professional $5,248

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
$3,630.78
Median
$4,897.79
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,677.35
Typical High
$5,888.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$7,413.10
Typical High
$14,125.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$5,495.41
Typical High
$9,120.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$10,715.19
Typical High
$16,595.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$5,495.41
Typical High
$13,182.57
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$7,079.46
Typical High
$10,471.29
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$6,760.83
Typical High
$11,481.54
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$7,079.46

Where Georgia 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.

Georgia $5,495 · 16th 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.