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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 October 2026.

How much does Gene Activity Test For Lung Scarring cost?

$7,943

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $7,943 for this service. The price depends on where it is billed: about $7,244 from a physician practice, and about $9,333 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7,244$4,898 to $7,943
FacilityA hospital or hospital-owned outpatient department$9,333$8,128 to $9,550

How much rates vary

Facilitymedian $9,333 · 10th to 90th $6,761 to $10,715Professionalmedian $7,244 · 10th to 90th $2,291 to $9,772
$5K$10Kfacility $9,333professional $7,244

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
Professional
Modifier
None
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
Cigna
Setting
Facility
Modifier
None
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$9,332.54
Typical High
$10,964.78
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$7,244.36
Median
$9,332.54
Typical High
$9,772.37
Providence
Setting
Facility
Modifier
None
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Providence
Setting
Professional
Modifier
None
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$7,943.28
United
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$5,495.41

Where Montana 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.

Montana· 4th of 51

$7,943

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.