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Lung Nodule Protein Risk Assessment

Idaho 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?

$3,631

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $3,631 for this service. The price depends on where it is billed: about $3,548 from a physician practice, and about $5,248 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 7 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$3,548$3,020 to $3,715
FacilityA hospital or hospital-owned outpatient department$5,248$3,548 to $8,710

How much rates vary

Facilitymedian $5,248 · 10th to 90th $3,548 to $10,965Professionalmedian $3,548 · 10th to 90th $1,479 to $9,120
$2K$5K$10Kfacility $5,248professional $3,548

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
$6,309.57
Median
$9,120.11
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$9,120.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,165.95
Typical High
$12,589.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,388.44
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$7,244.36
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,073.80
Typical High
$5,011.87
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$4,570.88
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$4,265.80
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$6,760.83
Typical High
$12,589.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,019.95
Typical High
$3,715.35
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$4,570.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$3,548.13

Where Idaho sits

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.

Idaho· 26th of 51

$3,631

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.