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Gene Activity Test For Lung Scarring

Washington 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?

$5,495

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $5,495 for this service. The price depends on where it is billed: about $5,129 from a physician practice, and about $8,128 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 10 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$5,129$4,571 to $7,413
FacilityA hospital or hospital-owned outpatient department$8,128$5,495 to $13,490

How much rates vary

Facilitymedian $8,128 · 10th to 90th $5,370 to $24,547Professionalmedian $5,129 · 10th to 90th $3,311 to $14,125
$100.0$500.0$2.0K$10.0K$50.0Kfacility $8,128professional $5,129

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
$5,128.61
Median
$11,748.98
Typical High
$29,512.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$5,128.61
Typical High
$36,307.81
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$6,918.31
Typical High
$15,135.61
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$5,370.32
Typical High
$7,079.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$11,748.98
Typical High
$14,125.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$5,754.40
Typical High
$7,585.78
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$6,760.83
Typical High
$24,547.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$6,760.83
Typical High
$16,982.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$6,025.60
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$8,709.64
Typical High
$16,982.44
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$6,606.93
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$8,317.64
Typical High
$14,791.08
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$5,370.32
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$6,456.54
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$6,165.95
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$5,370.32
Typical High
$9,772.37

Where Washington 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.

Washington $5,495 · 17th 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.