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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 July 2026.

How much does Gene Activity Test For Lung Scarring cost?

$5,248

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $5,248 for this service. The price depends on where it is billed: about $4,571 from a physician practice, and about $5,248 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$4,571$3,802 to $5,248
FacilityA hospital or hospital-owned outpatient department$5,248$5,248 to $6,607

How much rates vary

Facilitymedian $5,248 · 10th to 90th $5,248 to $9,550Professionalmedian $4,571 · 10th to 90th $3,020 to $6,607
$10.0$100.0$1.0K$10.0Kfacility $5,248professional $4,571

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
$5,248.07
Median
$5,248.07
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$5,248.07
Typical High
$6,606.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,801.89
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,090.30
Typical High
$7,585.78
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,623.41
Typical High
$13,803.84
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$5,370.32
Typical High
$7,413.10
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$5,370.32
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$5,495.41

Where Michigan 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.

Michigan $5,248 · 27th 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.