go back

Gene Activity Test For Lung Scarring

West 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 October 2026.

How much does Gene Activity Test For Lung Scarring cost?

$4,677

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $4,677 for this service. The price depends on where it is billed: about $4,467 from a physician practice, and about $10,715 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,467$2,754 to $7,943
FacilityA hospital or hospital-owned outpatient department$10,715$4,571 to $13,804

How much rates vary

Facilitymedian $10,715 · 10th to 90th $4,467 to $16,596Professionalmedian $4,467 · 10th to 90th $2,291 to $10,233
$2K$5K$10K$20Kfacility $10,715professional $4,467

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$4,466.84
Typical High
$4,677.35
CareSource
Setting
Professional
Modifier
None
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$10,715.19
Typical High
$16,595.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$7,943.28
Typical High
$26,302.68
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
United
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$2,754.23
Typical High
$10,232.93

Where West Virginia 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.

West Virginia· 31st of 51

$4,677

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.