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Lung Nodule Protein Risk Assessment

Maryland 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?

$2,089

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $2,089 for this service. Most negotiated rates run $1,479 to $3,311.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,862 · 10th to 90th $1,479 to $3,548Professionalmedian $2,089 · 10th to 90th $1,479 to $4,266
$2K$5Kfacility $1,862professional $2,089

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,818.38
Typical High
$3,235.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,290.87
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$4,073.80
Typical High
$5,011.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,073.80
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$3,548.13
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,584.89
Typical High
$3,548.13
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,819.70
Typical High
$5,248.07

Where Maryland 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.

Maryland· 50th of 51

$2,089

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.