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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 July 2026.

How much does Gene Activity Test For Lung Scarring cost?

$5,495

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $5,495 for this service. The price depends on where it is billed: about $5,370 from a physician practice, and about $9,333 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$5,370$4,169 to $6,918
FacilityA hospital or hospital-owned outpatient department$9,333$5,888 to $12,023

How much rates vary

Facilitymedian $9,333 · 10th to 90th $5,248 to $12,882Professionalmedian $5,370 · 10th to 90th $3,311 to $6,918
$10.0$100.0$1.0K$10.0Kfacility $9,333professional $5,370

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
$5,754.40
Median
$9,549.93
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,786.30
Typical High
$5,888.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$6,918.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$10,000.00
Typical High
$12,302.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,548.13
Typical High
$7,943.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$5,495.41
Typical High
$7,413.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$26,915.35
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$5,370.32
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,311.31
Typical High
$8,317.64

Where Kansas 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.

Kansas $5,495 · 14th 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.