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Lung Nodule Protein Risk Assessment

Montana 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?

$4,365

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $4,365 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 4 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$4,365$3,548 to $5,248
FacilityA hospital or hospital-owned outpatient department$4,365$4,365 to $6,166

How much rates vary

Facilitymedian $4,365 · 10th to 90th $3,548 to $10,715Professionalmedian $4,365 · 10th to 90th $1,479 to $8,128
$100$200$500$1K$2K$5K$10Kfacility $4,365professional $4,365

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$5,011.87
Typical High
$5,128.61
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$4,365.16
Typical High
$10,715.19
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,365.16
Typical High
$10,715.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$3,162.28
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$3,548.13

Where Montana 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.

Montana· 13th of 51

$4,365

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.