go back

Gene Activity Test For Lung Scarring

Utah 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?

$4,898

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $4,898 for this service. The price depends on where it is billed: about $4,898 from a physician practice, and about $26,303 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 7 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$4,898$4,571 to $4,898
FacilityA hospital or hospital-owned outpatient department$26,303$6,310 to $26,915

How much rates vary

Facilitymedian $26,303 · 10th to 90th $4,898 to $34,674Professionalmedian $4,898 · 10th to 90th $2,344 to $5,888
$5K$10K$20Kfacility $26,303professional $4,898

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
$4,897.79
Median
$26,915.35
Typical High
$34,673.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$5,623.41
Typical High
$15,135.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$5,754.40
Typical High
$10,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$22,387.21
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$5,370.32
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,786.30
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$5,495.41

Where Utah 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.

Utah· 30th of 51

$4,898

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.