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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 July 2026.

How much does Gene Activity Test For Lung Scarring cost?

$5,248

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $5,248 for this service. The price depends on where it is billed: about $4,677 from a physician practice, and about $8,318 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 5 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$4,677$4,571 to $6,457
FacilityA hospital or hospital-owned outpatient department$8,318$5,623 to $10,965

How much rates vary

Facilitymedian $8,318 · 10th to 90th $4,571 to $14,125Professionalmedian $4,677 · 10th to 90th $3,311 to $10,715
$10.0$100.0$1.0K$10.0K$100.0Kfacility $8,318professional $4,677

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
$4,570.88
Median
$8,317.64
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,677.35
Typical High
$9,332.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$8,709.64
Typical High
$70,794.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,168.69
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$12,589.25
Typical High
$25,118.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$6,606.93
Typical High
$9,120.11
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$9,549.93
Typical High
$19,952.62
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$5,495.41

Where Illinois 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.

Illinois $5,248 · 28th 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.