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Gene Activity Test For Lung Scarring

Ohio 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 Ohio, 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 $7,762 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 8 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$2,884 to $5,248
FacilityA hospital or hospital-owned outpatient department$7,762$5,370 to $12,023

How much rates vary

Facilitymedian $7,762 · 10th to 90th $4,467 to $12,589Professionalmedian $4,365 · 10th to 90th $2,188 to $9,333
$100.0$500.0$2.0K$10.0K$50.0Kfacility $7,762professional $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
$4,466.84
Median
$9,332.54
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,466.84
Typical High
$12,589.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,754.40
Typical High
$10,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,754.23
Typical High
$7,079.46
CareSource
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
CareSource
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$7,079.46
Typical High
$27,542.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,090.30
Typical High
$10,964.78
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$7,244.36
Typical High
$30,199.52
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,090.30
Typical High
$10,471.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$4,466.84
Typical High
$5,754.40
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$6,456.54
Typical High
$12,589.25
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$5,370.32
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$7,585.78

Where Ohio 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.

Ohio $4,677 · 37th 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.