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Lung Nodule Protein Risk Assessment

North Carolina 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?

$3,388

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $3,388 for this service. The price depends on where it is billed: about $2,089 from a physician practice, and about $5,888 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$2,089$1,778 to $3,548
FacilityA hospital or hospital-owned outpatient department$5,888$2,818 to $10,965

How much rates vary

Facilitymedian $5,888 · 10th to 90th $2,399 to $16,596Professionalmedian $2,089 · 10th to 90th $1,778 to $11,749
$2K$5K$10Kfacility $5,888professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$10,964.78
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$11,748.98
Typical High
$11,748.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$10,715.19
Typical High
$10,964.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,162.28
Typical High
$3,162.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$7,762.47
Typical High
$15,848.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$4,265.80
Typical High
$5,370.32
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,818.38
Typical High
$3,548.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,548.13
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,778.28
Typical High
$3,548.13
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87

Where North Carolina 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.

North Carolina· 43rd of 51

$3,388

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.