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Gene Activity Test For Lung Scarring

North Dakota 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?

$7,079

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $7,079 for this service. Most negotiated rates run $5,370 to $9,333.

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.

How much rates vary

Facilitymedian $3,890 · 10th to 90th $3,890 to $6,607Professionalmedian $7,762 · 10th to 90th $2,818 to $10,715
$5K$10Kfacility $3,890professional $7,762

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$5,128.61
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$6,309.57
Median
$9,120.11
Typical High
$10,715.19
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$7,585.78
Median
$10,964.78
Typical High
$12,882.50
Cigna
Setting
Professional
Modifier
None
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$9,772.37
Medica
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$11,481.54
Medica
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$6,606.93
Typical High
$9,332.54
United
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$6,165.95
Typical High
$7,943.28

Where North Dakota 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.

North Dakota· 6th of 51

$7,079

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.