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Gene Activity Test For Lung Scarring

Vermont 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?

$6,761

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $6,761 for this service. Most negotiated rates run $3,890 to $6,761.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,495 · 10th to 90th $5,495 to $9,333Professionalmedian $6,761 · 10th to 90th $3,890 to $6,761
$5.0K$10.0K$20.0Kfacility $5,495professional $6,761

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$6,760.83
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$9,332.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$6,606.93
Typical High
$8,511.38
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$5,495.41
Typical High
$12,022.64

Where Vermont 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.

Vermont $6,761 · 8th 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.