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Gene Activity Test For Lung Scarring

Pennsylvania 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?

$4,467

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $4,467 for this service. The price depends on where it is billed: about $4,467 from a physician practice, and about $6,457 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$4,467$3,802 to $5,495
FacilityA hospital or hospital-owned outpatient department$6,457$5,370 to $13,490

How much rates vary

Facilitymedian $6,457 · 10th to 90th $4,467 to $26,303Professionalmedian $4,467 · 10th to 90th $2,692 to $8,511
$5K$10K$20K$50Kfacility $6,457professional $4,467

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
$4,466.84
Median
$4,677.35
Typical High
$16,218.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$4,466.84
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2,187.76
Median
$2,238.72
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$870.96
Median
$891.25
Typical High
$933.25
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$26,302.68
Typical High
$37,153.52
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$4,265.80
Typical High
$12,589.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$8,912.51
Typical High
$16,595.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$5,248.07
Typical High
$8,511.38
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$7,079.46
Typical High
$7,079.46
Geisinger
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
Geisinger
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$6,165.95
Typical High
$10,715.19
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$18,620.87
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$4,466.84
Typical High
$4,677.35
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2,187.76
Median
$2,238.72
Typical High
$2,344.23
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$870.96
Median
$891.25
Typical High
$933.25
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$6,025.60
Typical High
$13,489.63
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$5,495.41
Median
$6,025.60
Typical High
$6,025.60
United
Setting
Facility
Modifier
None
Typical Low
$4,897.79
Median
$5,370.32
Typical High
$6,456.54
United
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$6,606.93

Where Pennsylvania 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.

Pennsylvania· 34th of 51

$4,467

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.