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Gene Activity Test For Lung Scarring

Texas 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?

$14,125

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $14,125 for this service. The price depends on where it is billed: about $26,915 from a physician practice, and about $10,233 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$26,915$3,311 to $40,738
FacilityA hospital or hospital-owned outpatient department$10,233$4,677 to $14,791

How much rates vary

Facilitymedian $10,233 · 10th to 90th $3,802 to $27,542Professionalmedian $26,915 · 10th to 90th $2,291 to $40,738
$2K$5K$10K$20Kfacility $10,233professional $26,915

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
$3,630.78
Median
$7,943.28
Typical High
$29,512.09
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$1,862.09
Median
$3,981.07
Typical High
$14,791.08
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$741.31
Median
$1,584.89
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,311.31
Median
$3,467.37
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,659.59
Median
$1,737.80
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$660.69
Median
$691.83
Typical High
$1,023.29
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$12,022.64
Typical High
$17,378.01
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$3,467.37
Typical High
$8,709.64
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$26,915.35
Median
$40,738.03
Typical High
$40,738.03
Moda Health
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$6,456.54
Typical High
$29,512.09
Moda Health
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$2,089.30
Median
$3,981.07
Typical High
$14,791.08
Moda Health
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$831.76
Median
$1,584.89
Typical High
$5,888.44
Moda Health
Setting
Professional
Modifier
None
Typical Low
$3,311.31
Median
$3,467.37
Typical High
$5,370.32
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,659.59
Median
$1,698.24
Typical High
$2,187.76
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$660.69
Median
$676.08
Typical High
$870.96
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$5,370.32
Median
$5,888.44
Typical High
$11,481.54
Providence
Setting
Facility
Modifier
None
Typical Low
$4,168.69
Median
$13,182.57
Typical High
$29,512.09
Providence
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$3,801.89
Typical High
$8,709.64
United
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$2,290.87
Typical High
$5,370.32
United
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$3,890.45
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,818.38

Where Texas 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.

Texas· 1st of 51

$14,125

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.