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Lung Nodule Protein Risk Assessment

West Virginia 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 West Virginia, July 2026.

Insurers have agreed to pay about $4,074 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $5,248 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 4 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$1,585$1,479 to $3,548
FacilityA hospital or hospital-owned outpatient department$5,248$4,365 to $5,248

How much rates vary

Facilitymedian $5,248 · 10th to 90th $2,884 to $5,248Professionalmedian $1,585 · 10th to 90th $1,479 to $6,607
$2K$5K$10Kfacility $5,248professional $1,585

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
$2,884.03
Median
$5,248.07
Typical High
$5,248.07
CareSource
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
CareSource
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$5,128.61
Typical High
$10,471.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$16,982.44
Typical High
$16,982.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,584.89
Typical High
$3,548.13

Where West Virginia 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.

West Virginia· 17th 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.