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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 October 2026.

How much does Gene Activity Test For Lung Scarring cost?

$5,370

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $5,370 for this service. Most negotiated rates run $3,311 to $11,220.

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.

How much rates vary

Facilitymedian $10,233 · 10th to 90th $4,169 to $13,183Professionalmedian $5,012 · 10th to 90th $2,512 to $40,738
$1K$2K$5K$10K$20K$50Kfacility $10,233professional $5,012

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
$4,168.69
Median
$4,365.16
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,365.16
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2,041.74
Median
$2,187.76
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$831.76
Median
$870.96
Typical High
$1,258.93
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$2,884.03
Median
$5,495.41
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$11,220.18
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$3,090.30
Typical High
$9,332.54
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$26,915.35
Median
$40,738.03
Typical High
$40,738.03
United
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$5,495.41

Where Tennessee 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.

Tennessee· 26th of 51

$5,370

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.