go back

Lung Nodule Protein Risk Assessment

Pennsylvania 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?

$4,266

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4,266 for this service. The price depends on where it is billed: about $3,090 from a physician practice, and about $5,370 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$3,090$2,089 to $5,012
FacilityA hospital or hospital-owned outpatient department$5,370$3,715 to $8,710

How much rates vary

Facilitymedian $5,370 · 10th to 90th $3,548 to $12,589Professionalmedian $3,090 · 10th to 90th $1,585 to $8,710
$2K$5K$10K$20K$50Kfacility $5,370professional $3,090

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
$3,715.35
Median
$8,709.64
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$8,709.64
Typical High
$12,589.25
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$5,370.32
Typical High
$12,022.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$4,073.80
Typical High
$5,011.87
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,089.30
Typical High
$5,128.61
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,235.94
Typical High
$6,165.95
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$8,709.64
Typical High
$12,589.25
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$8,709.64
Typical High
$12,589.25
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$8,709.64
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,548.13
Typical High
$3,890.45
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
$1,479.11
Median
$2,238.72
Typical High
$5,248.07

Where Pennsylvania 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.

Pennsylvania· 15th of 51

$4,266

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.