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Lung Ventilation Scan

Illinois rates for HCPCS 78579

A nuclear medicine study of how air moves into and through the lungs. You breathe in a radioactive gas or a fine mist through a mask or mouthpiece while a camera records where it reaches, revealing parts of the lungs that are not being aired properly. It is often paired with a blood-flow study when a clot in the lungs is suspected.

Rates data updated October 2026.

How much does Lung Ventilation Scan cost?

$224

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $575 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$214$53.70 to $251
FacilityA hospital or hospital-owned outpatient department$575$468 to $955

How much rates vary

Facilitymedian $575 · 10th to 90th $295 to $1,660Professionalmedian $214 · 10th to 90th $35 to $363
$50$100$200$500$1K$2Kfacility $575professional $214

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$165.96
Typical High
$512.86
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$147.91
Median
$165.96
Typical High
$169.82
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.42
Median
$21.38
Typical High
$21.88
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$144.54
Typical High
$147.91
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$691.83
Typical High
$2,187.76
BCBS Illinois
Setting
Professional
Modifier
None (both parts)
Typical Low
$29.51
Median
$107.15
Typical High
$363.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$407.38
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$162.18
Median
$218.78
Typical High
$346.74
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.91
Median
$28.18
Typical High
$46.77
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$141.25
Median
$186.21
Typical High
$309.03
Hally Health
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$239.88
Typical High
$707.95
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$33.11
Typical High
$93.33
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$208.93
Typical High
$489.78
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$204.17
Typical High
$218.78
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,071.52
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$173.78
Median
$234.42
Typical High
$346.74
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$31.62
Typical High
$44.67
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$204.17
Typical High
$302.00
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$117.49
Median
$134.90
Typical High
$134.90

Where Illinois sits

The same service costs 4.5 times more in Alaska than in Florida. 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· 31st of 51

$224

AK $676FL $151

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.