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Lung Nodule Protein Risk Assessment

New York 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?

$4,074

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $4,074 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $6,310 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 9 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$1,660$1,148 to $3,890
FacilityA hospital or hospital-owned outpatient department$6,310$3,981 to $8,511

How much rates vary

Facilitymedian $6,310 · 10th to 90th $3,388 to $9,772Professionalmedian $1,660 · 10th to 90th $1,148 to $7,586
$100$200$500$1K$2K$5K$10Kfacility $6,310professional $1,660

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
$3,388.44
Median
$6,606.93
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$8,511.38
Typical High
$9,772.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$6,760.83
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,548.13
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$7,585.78
Typical High
$9,120.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$16,982.44
Typical High
$16,982.44
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,754.40
Typical High
$13,489.63
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,089.30
Typical High
$6,760.83
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,019.95
Typical High
$3,981.07
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$6,606.93
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,630.27
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$5,128.61
Univera
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,548.13
Typical High
$4,073.80
Univera
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,311.31
Typical High
$4,073.80

Where New York 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 York· 20th of 51

$4,074

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.