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Gene Activity Test For Lung Scarring

Kentucky 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?

$4,365

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $3,715 from a physician practice, and about $5,370 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$3,715$2,188 to $4,571
FacilityA hospital or hospital-owned outpatient department$5,370$4,571 to $7,943

How much rates vary

Facilitymedian $5,370 · 10th to 90th $4,571 to $13,183Professionalmedian $3,715 · 10th to 90th $2,188 to $6,310
$2.0K$5.0K$10.0K$20.0Kfacility $5,370professional $3,715

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
$4,570.88
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,365.16
Typical High
$6,606.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$5,370.32
Typical High
$5,623.41
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$7,585.78
Typical High
$10,232.93
CareSource
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$7,079.46
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$7,943.28
Typical High
$12,882.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$8,912.51
Typical High
$26,302.68
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,495.41
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$5,495.41

Where Kentucky 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.

Kentucky $4,365 · 44th 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.