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Gene Activity Test For Lung Scarring

Tennessee 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?

$4,365

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $6,761 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 5 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$4,169 to $5,495
FacilityA hospital or hospital-owned outpatient department$6,761$4,571 to $19,498

How much rates vary

Facilitymedian $6,761 · 10th to 90th $4,169 to $23,442Professionalmedian $4,365 · 10th to 90th $3,020 to $6,607
$1K$2K$5K$10K$20Kfacility $6,761professional $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
$4,168.69
Median
$8,511.38
Typical High
$23,442.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,365.16
Typical High
$6,309.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$5,495.41
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$9,772.37
Typical High
$15,488.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,090.30
Typical High
$7,943.28
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$25,703.96
Typical High
$25,703.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$26,915.35
Median
$40,738.03
Typical High
$40,738.03
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$5,370.32
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$5,495.41

Where Tennessee sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

Tennessee· 41st of 51

$4,365

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.