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Gene Activity Test For Lung Scarring

New Jersey 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?

$3,890

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $3,802 from a physician practice, and about $15,849 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$3,802$3,020 to $3,890
FacilityA hospital or hospital-owned outpatient department$15,849$9,772 to $21,878

How much rates vary

Facilitymedian $15,849 · 10th to 90th $5,495 to $30,200Professionalmedian $3,802 · 10th to 90th $2,754 to $6,457
$2K$5K$10K$20K$50Kfacility $15,849professional $3,802

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
Facility
Modifier
None
Typical Low
$2,884.03
Median
$3,630.78
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$588.84
Median
$588.84
Typical High
$933.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$14,125.38
Typical High
$26,915.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$6,606.93
Typical High
$12,022.64
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$7,079.46
Typical High
$7,762.47
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$19,498.45
Typical High
$33,113.11
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
United
Setting
Facility
Modifier
None
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
United
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$3,311.31
Typical High
$5,495.41

Where New Jersey 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.

New Jersey· 46th of 51

$3,890

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.