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Gene Activity Test For Lung Scarring

Indiana 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?

$4,266

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $4,266 for this service. The price depends on where it is billed: about $3,311 from a physician practice, and about $5,370 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$3,311$2,188 to $5,370
FacilityA hospital or hospital-owned outpatient department$5,370$4,786 to $10,715

How much rates vary

Facilitymedian $5,370 · 10th to 90th $4,266 to $16,218Professionalmedian $3,311 · 10th to 90th $2,188 to $8,318
$1K$2K$5K$10K$20Kfacility $5,370professional $3,311

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
$8,317.64
Typical High
$20,417.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,570.88
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2,089.30
Median
$2,238.72
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$831.76
Median
$912.01
Typical High
$1,659.59
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,370.32
Typical High
$16,218.10
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$8,128.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$10,232.93
Typical High
$15,488.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$4,897.79
Typical High
$10,471.29
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$9,772.37
Typical High
$16,595.87
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$4,677.35
Typical High
$8,709.64
United
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$6,606.93

Where Indiana 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.

Indiana· 40th of 51

$4,266

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.