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Lung Ventilation Scan

New York 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?

$170

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $178 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$170$148 to $204
FacilityA hospital or hospital-owned outpatient department$178$56.23 to $479

How much rates vary

Facilitymedian $178 · 10th to 90th $56 to $603Professionalmedian $170 · 10th to 90th $135 to $347
$100$200$500$1Kfacility $178professional $170

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
$125.89
Median
$177.83
Typical High
$407.38
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$125.89
Median
$125.89
Typical High
$213.80
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$14.79
Median
$14.79
Typical High
$25.70
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$112.20
Median
$112.20
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$169.82
Typical High
$331.13
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$17.78
Median
$20.89
Typical High
$38.90
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$147.91
Typical High
$288.40
CDPHP
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$229.09
Typical High
$263.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$489.78
Typical High
$645.65
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$134.90
Median
$151.36
Typical High
$588.84
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$15.85
Median
$17.78
Typical High
$69.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$117.49
Median
$134.90
Typical High
$512.86
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$177.83
Typical High
$512.86
Emblem Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$181.97
Median
$229.09
Typical High
$363.08
Emblem Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$30.20
Typical High
$46.77
Emblem Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$158.49
Median
$199.53
Typical High
$316.23
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Excellus BCBS
Setting
Facility
Modifier
TC · Technical part
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Excellus BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$107.15
Median
$158.49
Typical High
$218.78
Excellus BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.80
Median
$21.88
Typical High
$29.51
Excellus BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$93.33
Median
$138.04
Typical High
$190.55
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$257.04
Typical High
$302.00
MVP Health Care
Setting
Professional
Modifier
None (both parts)
Typical Low
$275.42
Median
$323.59
Typical High
$467.74
United
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$933.25
Typical High
$1,148.15
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$147.91
Median
$199.53
Typical High
$467.74
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$25.70
Typical High
$57.54
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$181.97
Typical High
$407.38
Univera
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$316.23
Univera
Setting
Facility
Modifier
TC · Technical part
Typical Low
$33.11
Median
$33.11
Typical High
$269.15
Univera
Setting
Professional
Modifier
None (both parts)
Typical Low
$107.15
Median
$158.49
Typical High
$218.78
Univera
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.80
Median
$21.38
Typical High
$30.20
Univera
Setting
Professional
Modifier
TC · Technical part
Typical Low
$93.33
Median
$138.04
Typical High
$190.55
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
$102.33
Median
$102.33
Typical High
$144.54

Where New York 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.

New York· 47th of 51

$170

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.