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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.

Facilitymedian $4,266 · 10th–90th $2,951$7,7620%20%10th90th$4,266Professionalmedian $2,291 · 10th–90th $66$4,5710%20%10th90th$2,291$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$5,248.07
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,818.38
Typical High
$6,025.60
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
$4,265.80
Typical High
$17,782.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$4,570.88
Typical High
$5,248.07
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$7,413.10
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
$1,949.84
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
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
$3,548.13