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Lung Ventilation Scan

Ohio 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?

$178

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $891 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$174$158 to $229
FacilityA hospital or hospital-owned outpatient department$891$501 to $1,096

How much rates vary

Facilitymedian $891 · 10th to 90th $457 to $1,349Professionalmedian $174 · 10th to 90th $138 to $355
$100$200$500$1Kfacility $891professional $174

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
$158.49
Median
$851.14
Typical High
$1,122.02
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$138.04
Median
$371.54
Typical High
$575.44
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$158.49
Median
$158.49
Typical High
$851.14
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$21.88
Typical High
$93.33
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$138.04
Median
$138.04
Typical High
$407.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$1,023.29
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$147.91
Median
$173.78
Typical High
$288.40
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.50
Median
$22.91
Typical High
$39.81
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$128.82
Median
$151.36
Typical High
$257.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$776.25
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$162.18
Median
$208.93
Typical High
$501.19
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$30.20
Typical High
$60.26
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$141.25
Median
$181.97
Typical High
$436.52
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$741.31
Typical High
$1,380.38
Medical Mutual of Ohio
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$213.80
Typical High
$512.86
Medical Mutual of Ohio
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$30.20
Typical High
$60.26
Medical Mutual of Ohio
Setting
Professional
Modifier
TC · Technical part
Typical Low
$141.25
Median
$186.21
Typical High
$436.52
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$123.03
Median
$158.49
Typical High
$218.78
SummaCare
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$208.93
Typical High
$302.00
United
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$954.99
Typical High
$1,348.96
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$147.91
Median
$194.98
Typical High
$457.09
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.50
Median
$26.92
Typical High
$63.10
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$169.82
Typical High
$389.05
2 more rates 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
Facility
Modifier
FX · Film X-ray
Typical Low
$138.04
Median
$446.68
Typical High
$831.76
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$125.89
Median
$125.89
Typical High
$524.81

Where Ohio 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.

Ohio· 45th of 51

$178

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.