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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 July 2026.

How much does Gene Activity Test For Lung Scarring cost?

$4,677

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $4,677 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $8,710 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 5 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$4,365$3,388 to $4,677
FacilityA hospital or hospital-owned outpatient department$8,710$7,079 to $20,893

How much rates vary

Facilitymedian $8,710 · 10th to 90th $5,370 to $32,359Professionalmedian $4,365 · 10th to 90th $2,884 to $6,457
$200$1K$5K$20Kfacility $8,710professional $4,365

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
$6,918.31
Median
$7,244.36
Typical High
$33,884.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$4,365.16
Typical High
$6,309.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$12,022.64
Typical High
$25,118.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$5,248.07
Typical High
$11,481.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,623.41
Typical High
$10,232.93
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$27,542.29
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$5,495.41
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,311.31
Typical High
$5,623.41

Where New Jersey sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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· 34th of 51

$4,677

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.