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Gene Activity Test For Lung Scarring

Michigan 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?

$5,248

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $5,248 for this service. The price depends on where it is billed: about $5,248 from a physician practice, and about $5,248 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,248$3,802 to $5,495
FacilityA hospital or hospital-owned outpatient department$5,248$5,248 to $6,607

How much rates vary

Facilitymedian $5,248 · 10th to 90th $4,898 to $9,550Professionalmedian $5,248 · 10th to 90th $3,311 to $6,457
$5K$10Kfacility $5,248professional $5,248

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$8,128.31
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$4,073.80
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$5,370.32
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2,511.89
Median
$2,691.53
Typical High
$2,754.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1,000.00
Median
$1,071.52
Typical High
$1,096.48
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$3,630.78
Median
$3,801.89
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,454.71
Median
$3,090.30
Typical High
$7,413.10
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$15,488.17
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$4,073.80
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,621.81
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$7,079.46
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Priority Health
Setting
Professional
Modifier
None
Typical Low
$2,454.71
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$4,897.79
Typical High
$6,456.54
United
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$5,495.41

Where Michigan 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.

Michigan· 28th of 51

$5,248

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.