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Lung Ventilation Scan

Missouri 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?

$214

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $501 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$209$170 to $288
FacilityA hospital or hospital-owned outpatient department$501$251 to $1,072

How much rates vary

Facilitymedian $501 · 10th to 90th $209 to $1,259Professionalmedian $209 · 10th to 90th $155 to $575
$200$500$1K$2Kfacility $501professional $209

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
$151.36
Median
$151.36
Typical High
$169.82
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$151.36
Median
$154.88
Typical High
$186.21
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$21.38
Typical High
$24.55
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$134.90
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$154.88
Median
$186.21
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$29.51
Typical High
$39.81
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$158.49
Typical High
$257.04
BCBS Kansas City
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$234.42
Typical High
$457.09
BCBS Kansas City
Setting
Professional
Modifier
None (both parts)
Typical Low
$173.78
Median
$181.97
Typical High
$269.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$562.34
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$123.03
Median
$218.78
Typical High
$371.54
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.60
Median
$29.51
Typical High
$51.29
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$190.55
Typical High
$323.59
Medica
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$363.08
Typical High
$1,230.27
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$186.21
Median
$309.03
Typical High
$1,148.15
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$43.65
Typical High
$141.25
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$162.18
Median
$275.42
Typical High
$1,000.00
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,318.26
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$234.42
Typical High
$588.84
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$30.90
Typical High
$77.62
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$204.17
Typical High
$512.86
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
$123.03
Median
$125.89
Typical High
$147.91

Where Missouri 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.

Missouri· 33rd of 51

$214

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.