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Lung Nodule Protein Risk Assessment

South Carolina 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?

$4,571

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $4,571 for this service. The price depends on where it is billed: about $3,548 from a physician practice, and about $8,710 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$3,548$2,089 to $3,715
FacilityA hospital or hospital-owned outpatient department$8,710$3,548 to $11,220

How much rates vary

Facilitymedian $8,710 · 10th to 90th $2,692 to $16,596Professionalmedian $3,548 · 10th to 90th $1,778 to $4,898
$2K$5K$10K$20Kfacility $8,710professional $3,548

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
$6,456.54
Median
$11,220.18
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,715.35
Typical High
$4,897.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$11,481.54
Typical High
$19,952.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$5,011.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,162.28
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,548.13
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$4,265.80

Where South Carolina 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.

South Carolina· 11th of 51

$4,571

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.