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Gene Activity Test For Lung Scarring

Idaho 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 Idaho, July 2026.

Insurers have agreed to pay about $5,495 for this service. The price depends on where it is billed: about $5,495 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 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$5,495$5,129 to $6,457
FacilityA hospital or hospital-owned outpatient department$8,511$5,370 to $13,804

How much rates vary

Facilitymedian $8,511 · 10th to 90th $5,370 to $19,055Professionalmedian $5,495 · 10th to 90th $3,890 to $10,715
$5.0K$10.0K$20.0Kfacility $8,511professional $5,495

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
$10,000.00
Median
$14,125.38
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$6,309.57
Typical High
$10,715.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$10,715.19
Typical High
$19,952.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$5,495.41
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$11,481.54
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$4,073.80
Typical High
$9,332.54
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,370.32
Typical High
$8,317.64
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$5,623.41
Typical High
$6,456.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$10,964.78
Typical High
$19,952.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$5,623.41
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$7,079.46
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$5,495.41

Where Idaho 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.

Idaho $5,495 · 19th 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.