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Lung Nodule Protein Risk Assessment

Missouri 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?

$3,802

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $2,138 from a physician practice, and about $5,623 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 5 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$2,138$1,148 to $4,169
FacilityA hospital or hospital-owned outpatient department$5,623$3,548 to $6,607

How much rates vary

Facilitymedian $5,623 · 10th to 90th $3,548 to $8,128Professionalmedian $2,138 · 10th to 90th $1,148 to $6,310
$1K$2K$5K$10Kfacility $5,623professional $2,138

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
$4,570.88
Median
$6,025.60
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$6,025.60
Typical High
$12,022.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$12,302.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$5,623.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$7,413.10
Typical High
$18,197.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$5,011.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$6,165.95
Typical High
$16,595.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
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

Where Missouri 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.

Missouri· 24th of 51

$3,802

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.