go back

Gene Activity Test For Lung Scarring

Kansas 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?

$5,495

Typical negotiated rate. In Kansas, October 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 $5,754 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$5,495$3,311 to $6,918
FacilityA hospital or hospital-owned outpatient department$5,754$5,248 to $9,333

How much rates vary

Facilitymedian $5,754 · 10th to 90th $4,467 to $10,965Professionalmedian $5,495 · 10th to 90th $3,311 to $13,490
$5K$10K$20Kfacility $5,754professional $5,495

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3,715.35
Median
$6,606.93
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,677.35
Median
$5,495.41
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2,344.23
Median
$2,691.53
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$933.25
Median
$1,096.48
Typical High
$1,148.15
BCBS Kansas
Setting
Professional
Modifier
None
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$6,918.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,897.79
Median
$5,754.40
Typical High
$12,302.69
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$7,943.28
Typical High
$10,232.93
Medica
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$5,495.41
Typical High
$9,549.93
Medica
Setting
Professional
Modifier
None
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$26,915.35
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$5,370.32
United
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$9,332.54

Where Kansas 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.

Kansas· 21st of 51

$5,495

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.