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Lung Nodule Protein Risk Assessment

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $4,074 for this service. The price depends on where it is billed: about $3,020 from a physician practice, and about $16,982 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 6 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$3,020$2,399 to $3,162
FacilityA hospital or hospital-owned outpatient department$16,982$4,266 to $22,387

How much rates vary

Facilitymedian $16,982 · 10th to 90th $3,715 to $22,387Professionalmedian $3,020 · 10th to 90th $1,479 to $5,248
$50$200$1K$5K$20Kfacility $16,982professional $3,020

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
$16,982.44
Median
$16,982.44
Typical High
$22,387.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$16,982.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,715.35
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$30.90
Typical High
$5,011.87
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$4,073.80
Typical High
$14,125.38
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,019.95
Typical High
$3,162.28
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,548.13
Typical High
$4,570.88
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,090.30
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,290.87
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$3,548.13

Where Utah 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.

Utah· 18th 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.