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Gene Activity Test For Lung Scarring

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $5,370 for this service. The price depends on where it is billed: about $4,786 from a physician practice, and about $7,244 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$4,786$2,630 to $6,457
FacilityA hospital or hospital-owned outpatient department$7,244$5,370 to $9,550

How much rates vary

Facilitymedian $7,244 · 10th to 90th $5,370 to $12,882Professionalmedian $4,786 · 10th to 90th $2,188 to $10,471
$10.0$100.0$1.0K$10.0Kfacility $7,244professional $4,786

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
$9,120.11
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,128.61
Typical High
$10,964.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$19,054.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,290.87
Typical High
$9,772.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$8,128.31
Typical High
$14,454.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,370.32
Typical High
$9,332.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$11,481.54
Typical High
$28,183.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,884.03
Typical High
$7,585.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$6,606.93
Typical High
$25,703.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$26,915.35
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$5,370.32
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$7,413.10

Where Missouri 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.

Missouri $5,370 · 24th 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.