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Lung Nodule Protein Risk Assessment

Maine 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. In Maine, July 2026.

Insurers have agreed to pay about $3,548 for this service. The price depends on where it is billed: about $3,548 from a physician practice, and about $3,548 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 6 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$2,089 to $3,548
FacilityA hospital or hospital-owned outpatient department$3,548$3,548 to $5,754

How much rates vary

Facilitymedian $3,548 · 10th to 90th $3,548 to $8,710Professionalmedian $3,548 · 10th to 90th $1,413 to $4,266
$1K$2K$5K$10Kfacility $3,548professional $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
$3,548.13
Median
$3,548.13
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$4,073.80
Typical High
$12,302.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,778.28
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$26.30
Typical High
$5,011.87
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,548.13
Typical High
$4,265.80
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$8,709.64
Martin's Point
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
$2,089.30
Median
$3,548.13
Typical High
$6,165.95

Where Maine 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.

Maine· 41st of 51

$3,548

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.