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Gene Activity Test For Lung Scarring

Maine 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?

$5,370

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $5,370 for this service. The price depends on where it is billed: about $5,370 from a physician practice, and about $8,710 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 6 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$4,467 to $5,370
FacilityA hospital or hospital-owned outpatient department$8,710$5,370 to $24,547

How much rates vary

Facilitymedian $8,710 · 10th to 90th $5,370 to $35,481Professionalmedian $5,370 · 10th to 90th $3,311 to $6,166
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $8,710professional $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
$5,370.32
Median
$5,370.32
Typical High
$23,988.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,466.84
Typical High
$5,370.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$35,481.34
Typical High
$38,018.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,090.30
Typical High
$5,248.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$12,302.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$5,495.41
Typical High
$7,079.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$6,456.54
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$23,988.33
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$5,370.32
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$5,370.32
Typical High
$8,511.38

Where Maine 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.

Maine $5,370 · 26th 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.