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Gene Activity Test For Lung Scarring

North Carolina 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?

$4,677

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $4,677 for this service. The price depends on where it is billed: about $4,677 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$4,677$4,365 to $5,623
FacilityA hospital or hospital-owned outpatient department$5,248$4,677 to $8,710

How much rates vary

Facilitymedian $5,248 · 10th to 90th $4,365 to $18,197Professionalmedian $4,677 · 10th to 90th $3,548 to $8,710
$10.0$100.0$1.0K$10.0Kfacility $5,248professional $4,677

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
$4,365.16
Median
$4,786.30
Typical High
$18,197.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,365.16
Typical High
$7,244.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$12,022.64
Typical High
$12,589.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,370.32
Typical High
$10,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$12,022.64
Typical High
$24,547.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,754.23
Typical High
$8,317.64
Medcost
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,897.79
Typical High
$7,943.28
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$6,456.54
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$5,888.44
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$25,118.86
Typical High
$25,118.86
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$26,915.35
Median
$26,915.35
Typical High
$40,738.03

Where North Carolina 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.

North Carolina $4,677 · 33rd 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.