go back

Gene Activity Test For Lung Scarring

New Mexico 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?

$5,623

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $5,623 for this service. The price depends on where it is billed: about $5,888 from a physician practice, and about $4,898 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$5,888$2,291 to $7,244
FacilityA hospital or hospital-owned outpatient department$4,898$3,548 to $17,783

How much rates vary

Facilitymedian $4,898 · 10th to 90th $3,548 to $18,197Professionalmedian $5,888 · 10th to 90th $2,291 to $8,318
$5K$10Kfacility $4,898professional $5,888

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
$4,168.69
Median
$17,782.79
Typical High
$18,197.01
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$6,606.93
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$6,309.57
Typical High
$9,332.54
Molina
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$9,549.93
Typical High
$11,748.98
Providence
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Providence
Setting
Professional
Modifier
None
Typical Low
$5,623.41
Median
$7,244.36
Typical High
$9,332.54
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
$2,290.87
Median
$2,290.87
Typical High
$3,311.31

Where New Mexico 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 Mexico· 16th of 51

$5,623

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.