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Gene Activity Test For Lung Scarring

Montana 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?

$6,918

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $6,918 for this service. The price depends on where it is billed: about $6,918 from a physician practice, and about $6,918 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 5 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$6,918$5,495 to $12,589
FacilityA hospital or hospital-owned outpatient department$6,918$5,495 to $8,710

How much rates vary

Facilitymedian $6,918 · 10th to 90th $5,495 to $16,596Professionalmedian $6,918 · 10th to 90th $2,291 to $36,308
$5K$10K$20Kfacility $6,918professional $6,918

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
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$36,307.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$7,943.28
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$6,918.31
Typical High
$16,595.87
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$6,918.31
Typical High
$16,595.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$8,511.38
Typical High
$12,022.64
Providence
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$5,495.41

Where Montana sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

Montana· 6th of 51

$6,918

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.