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Other Nuclear Scan Of Blood And Lymph System

Illinois rates for HCPCS 78199

Covers a nuclear medicine study of the blood-forming and lymphatic system — organs such as the spleen, the bone marrow, and the lymph channels and nodes — that has no standard named study of its own. A small amount of radioactive tracer is given and a special camera follows where it travels in the body.

Rates data updated July 2026.

How much does Other Nuclear Scan Of Blood And Lymph System cost?

$575

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $575 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$347$126 to $347
FacilityA hospital or hospital-owned outpatient department$575$468 to $1,072

How much rates vary

Facilitymedian $575 · 10th to 90th $339 to $1,380Professionalmedian $347 · 10th to 90th $100 to $437
$50$100$200$500$1K$2Kfacility $575professional $347

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$575.44
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,096.48
Typical High
$1,621.81
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$1,071.52

Where Illinois sits

The same service costs 1778.3 times more in Kentucky than in Nevada. 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.

Illinois· 32nd of 46

$575

KY $75,858NV $42.66

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.