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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 October 2026.

How much does Gene Activity Test For Lung Scarring cost?

$4,365

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $2,884 from a physician practice, and about $6,761 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,884$2,188 to $4,786
FacilityA hospital or hospital-owned outpatient department$6,761$5,623 to $9,333

How much rates vary

Facilitymedian $6,761 · 10th to 90th $4,898 to $13,183Professionalmedian $2,884 · 10th to 90th $2,188 to $8,511
$2K$5K$10K$20Kfacility $6,761professional $2,884

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
$5,248.07
Median
$10,232.93
Typical High
$13,803.84
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$2,570.40
Median
$5,128.61
Typical High
$6,918.31
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$1,047.13
Median
$2,041.74
Typical High
$2,754.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$870.96
Median
$870.96
Typical High
$2,754.23
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$4,365.16
Median
$6,309.57
Typical High
$10,000.00
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$7,079.46
CareSource
Setting
Professional
Modifier
None
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$6,606.93
Typical High
$22,387.21
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,630.27
Typical High
$7,943.28
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$5,754.40
Median
$6,606.93
Typical High
$30,199.52
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,630.27
Typical High
$7,413.10
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$4,466.84
Typical High
$5,888.44
SummaCare
Setting
Professional
Modifier
None
Typical Low
$4,570.88
Median
$6,606.93
Typical High
$8,511.38
United
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$4,897.79
Typical High
$8,128.31
United
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$7,943.28

Where Ohio 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.

Ohio· 39th of 51

$4,365

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.