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Gene Activity Test For Lung Scarring

Oregon 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?

$5,495

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $5,495 for this service. The price depends on where it is billed: about $5,370 from a physician practice, and about $6,026 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$5,370$4,898 to $7,943
FacilityA hospital or hospital-owned outpatient department$6,026$5,495 to $8,318

How much rates vary

Facilitymedian $6,026 · 10th to 90th $5,495 to $15,849Professionalmedian $5,370 · 10th to 90th $4,571 to $10,715
$5.0K$10.0K$20.0Kfacility $6,026professional $5,370

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
$7,079.46
Median
$10,232.93
Typical High
$24,547.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,370.32
Typical High
$15,135.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$15,848.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$6,025.60
Typical High
$9,772.37
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$11,748.98
Typical High
$14,454.40
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$7,762.47
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$6,456.54
Typical High
$7,762.47
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$6,165.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$7,585.78
Typical High
$15,848.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$6,025.60
Typical High
$8,128.31
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$16,218.10
Typical High
$21,379.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,570.88
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$6,606.93

Where Oregon 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.

Oregon $5,495 · 15th 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.