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Gene Activity Test For Lung Scarring

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $4,677 for this service. The price depends on where it is billed: about $4,169 from a physician practice, and about $5,754 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$4,169$2,455 to $4,677
FacilityA hospital or hospital-owned outpatient department$5,754$5,370 to $10,233

How much rates vary

Facilitymedian $5,754 · 10th to 90th $4,677 to $13,490Professionalmedian $4,169 · 10th to 90th $2,188 to $8,318
$10.0$100.0$1.0K$10.0Kfacility $5,754professional $4,169

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
$10,232.93
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,677.35
Typical High
$10,232.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$21,877.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$3,715.35
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,677.35
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$10,715.19
Typical High
$28,183.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,388.44
Typical High
$8,912.51
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$5,888.44
Typical High
$7,585.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$5,370.32
Typical High
$9,332.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$11,481.54
Sentara
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$6,456.54
Typical High
$10,964.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$6,456.54
Typical High
$11,220.18
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$5,495.41
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,884.03
Typical High
$6,309.57

Where Virginia 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.

Virginia $4,677 · 32nd 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.