go back

Gene Activity Test For Lung Scarring

Illinois 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?

$5,012

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $5,012 for this service. The price depends on where it is billed: about $4,571 from a physician practice, and about $10,000 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,571$3,311 to $7,079
FacilityA hospital or hospital-owned outpatient department$10,000$6,457 to $20,893

How much rates vary

Facilitymedian $10,000 · 10th to 90th $5,754 to $44,668Professionalmedian $4,571 · 10th to 90th $2,570 to $9,550
$500$1K$2K$5K$10K$20K$50Kfacility $10,000professional $4,571

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
$4,570.88
Median
$8,912.51
Typical High
$16,595.87
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$2,238.72
Median
$4,365.16
Typical High
$8,317.64
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$912.01
Median
$1,737.80
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$912.01
Median
$912.01
Typical High
$1,000.00
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$6,456.54
Median
$7,762.47
Typical High
$70,794.58
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$3,715.35
Median
$4,168.69
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$13,182.57
Typical High
$25,118.86
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,691.53
Median
$7,079.46
Typical High
$8,511.38
Hally Health
Setting
Professional
Modifier
None
Typical Low
$5,495.41
Median
$8,511.38
Typical High
$16,218.10
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$7,079.46
United
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$6,456.54
Typical High
$6,760.83
United
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$5,495.41

Where Illinois 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.

Illinois· 29th of 51

$5,012

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.