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Gene Activity Test For Lung Scarring

Nebraska 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?

$3,631

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $3,631 for this service. The price depends on where it is billed: about $3,631 from a physician practice, and about $4,898 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$3,631$3,631 to $14,454
FacilityA hospital or hospital-owned outpatient department$4,898$3,236 to $13,183

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,479 to $14,454Professionalmedian $3,631 · 10th to 90th $3,311 to $36,308
$2.0K$5.0K$10.0K$20.0Kfacility $4,898professional $3,631

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
$3,890.45
Median
$14,454.40
Typical High
$27,542.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$36,307.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,513.56
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7,943.28
Median
$8,511.38
Typical High
$9,120.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$10,471.29
Typical High
$13,182.57
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,630.78
Typical High
$25,703.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$15,848.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$5,248.07
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,311.31
Typical High
$15,135.61

Where Nebraska 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.

Nebraska $3,631 · 51st 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.