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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 July 2026.

How much does Gene Activity Test For Lung Scarring cost?

$4,467

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $4,467 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $6,761 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 4 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$4,365$4,074 to $4,677
FacilityA hospital or hospital-owned outpatient department$6,761$4,467 to $8,128

How much rates vary

Facilitymedian $6,761 · 10th to 90th $4,467 to $8,128Professionalmedian $4,365 · 10th to 90th $3,631 to $4,677
$2.0K$5.0K$10.0K$20.0Kfacility $6,761professional $4,365

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
$4,466.84
Median
$6,760.83
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,365.16
Typical High
$4,677.35
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
CareSource
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$7,943.28
Typical High
$16,595.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$26,302.68
Typical High
$26,302.68
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,691.53
Typical High
$6,025.60

Where West 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.

West Virginia $4,467 · 40th 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.