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Lung Nodule Protein Risk Assessment

New Jersey 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?

$5,495

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $5,495 for this service. The price depends on where it is billed: about $4,266 from a physician practice, and about $5,495 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$4,266$2,089 to $5,495
FacilityA hospital or hospital-owned outpatient department$5,495$4,571 to $14,454

How much rates vary

Facilitymedian $5,495 · 10th to 90th $3,548 to $25,119Professionalmedian $4,266 · 10th to 90th $1,585 to $11,220
$200$500$1K$2K$5K$10K$20Kfacility $5,495professional $4,266

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
$4,466.84
Median
$5,495.41
Typical High
$25,118.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$11,220.18
Typical High
$11,220.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,762.47
Typical High
$16,218.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$4,073.80
Typical High
$5,370.32
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,659.59
Typical High
$2,089.30
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$11,481.54
Typical High
$27,542.29
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,290.87
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,548.13
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,089.30
Typical High
$3,548.13

Where New Jersey 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.

New Jersey· 5th of 51

$5,495

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.