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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 July 2026.

How much does Gene Activity Test For Lung Scarring cost?

$4,677

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4,677 for this service. The price depends on where it is billed: about $4,467 from a physician practice, and about $9,120 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$4,467$3,631 to $5,129
FacilityA hospital or hospital-owned outpatient department$9,120$6,457 to $14,125

How much rates vary

Facilitymedian $9,120 · 10th to 90th $4,677 to $20,417Professionalmedian $4,467 · 10th to 90th $3,020 to $11,482
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $9,120professional $4,467

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
$4,677.35
Median
$10,715.19
Typical High
$19,498.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$4,466.84
Typical High
$19,498.45
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$26,302.68
Typical High
$37,153.52
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$8,912.51
Typical High
$18,620.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$4,897.79
Typical High
$10,000.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$7,079.46
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$6,456.54
Typical High
$10,471.29
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$10,715.19
Typical High
$18,620.87
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$4,466.84
Typical High
$19,498.45
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$6,025.60
Typical High
$13,489.63
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$6,025.60
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$5,370.32
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$7,762.47

Where Pennsylvania 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.

Pennsylvania $4,677 · 36th 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.