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Lung Nodule Protein Risk Assessment

Ohio 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?

$3,311

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $4,677 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 8 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$1,148$79.43 to $3,311
FacilityA hospital or hospital-owned outpatient department$4,677$3,548 to $6,761

How much rates vary

Facilitymedian $4,677 · 10th to 90th $3,311 to $8,511Professionalmedian $1,148 · 10th to 90th $66 to $6,026
$100$200$500$1K$2K$5K$10Kfacility $4,677professional $1,148

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
$3,311.31
Median
$6,309.57
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$6,025.60
Typical High
$8,511.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,715.35
Typical High
$6,456.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$3,548.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$4,073.80
CareSource
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$54,954.09
Typical High
$97,723.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$4,365.16
Typical High
$17,782.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$4,570.88
Typical High
$16,982.44
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$4,570.88
Typical High
$14,454.40
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,398.83
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,715.35
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,548.13
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$3,801.89

Where Ohio 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.

Ohio· 46th of 51

$3,311

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.