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Gene Activity Test For Lung Scarring

Iowa 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?

$5,370

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $5,370 for this service. The price depends on where it is billed: about $4,786 from a physician practice, and about $8,511 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 8 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$4,786$4,266 to $10,471
FacilityA hospital or hospital-owned outpatient department$8,511$5,370 to $14,454

How much rates vary

Facilitymedian $8,511 · 10th to 90th $4,266 to $15,849Professionalmedian $4,786 · 10th to 90th $3,311 to $36,308
$10.0$100.0$1.0K$10.0Kfacility $8,511professional $4,786

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
$4,265.80
Median
$11,481.54
Typical High
$15,848.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,786.30
Typical High
$36,307.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10,000.00
Median
$10,471.29
Typical High
$13,182.57
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$9,549.93
Typical High
$13,489.63
Medica
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$6,606.93
Typical High
$14,454.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$5,495.41
Typical High
$21,877.62
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,760.83
Median
$7,244.36
Typical High
$7,244.36
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$5,888.44
Typical High
$11,481.54
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$13,803.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32

Where Iowa 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.

Iowa $5,370 · 23rd 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.