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Lung Nodule Protein Risk Assessment

Nationwide rates for HCPCS 0080U

Helps judge whether a lung nodule found on a scan is likely to be cancerous. It measures two blood proteins — galectin-3-binding protein and M130 protein — in plasma and combines them with five patient risk factors to report a probability rather than a plain measurement.

Rates data updated July 2026.

How much does Lung Nodule Protein Risk Assessment cost?

$3,548

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $3,548 for this service. The price depends on where it is billed: about $3,162 from a physician practice, and about $5,129 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 63 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$3,162$1,479 to $4,074
FacilityA hospital or hospital-owned outpatient department$5,129$3,548 to $8,710

How much rates vary

Facilitymedian $5,129 · 10th to 90th $2,884 to $15,849Professionalmedian $3,162 · 10th to 90th $1,148 to $6,761
$50$200$1K$5K$20Kfacility $5,129professional $3,162

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
$3,311.31
Median
$6,165.95
Typical High
$15,488.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$6,025.60
Typical High
$12,302.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$4,786.30
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$1,148.15
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$6,918.31
Typical High
$15,135.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$5,011.87
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$3,548.13
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$4,265.80

What it costs in each state

The same service costs 4.0 times more in Colorado 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.

Touch or drag across the chart to see any state's rate.

CO $7,762AL $1,950

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.