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Gene Activity Test For Lung Scarring

Maryland 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?

$4,169

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $4,169 for this service. Most negotiated rates run $3,548 to $4,677.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,344 · 10th to 90th $2,291 to $4,074Professionalmedian $4,169 · 10th to 90th $2,455 to $6,457
$100.0$500.0$2.0K$10.0Kfacility $2,344professional $4,169

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,168.69
Typical High
$5,248.07
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,388.44
Typical High
$9,549.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$6,456.54
Typical High
$8,128.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,344.23
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,454.71
Typical High
$4,786.30
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53

Where Maryland 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.

Maryland $4,169 · 46th 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.