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Lung Ventilation Scan

Texas 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?

$166

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $537 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 11 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$141$100 to $170
FacilityA hospital or hospital-owned outpatient department$537$347 to $724

How much rates vary

Facilitymedian $537 · 10th to 90th $204 to $1,259Professionalmedian $141 · 10th to 90th $22 to $363
$20$50$100$200$500$1K$2Kfacility $537professional $141

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
$114.82
Median
$147.91
Typical High
$147.91
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$128.82
Median
$218.78
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$138.04
Typical High
$169.82
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$14.45
Median
$17.78
Typical High
$21.88
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$125.89
Typical High
$204.17
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$524.81
Typical High
$1,202.26
BCBS Texas
Setting
Professional
Modifier
None (both parts)
Typical Low
$26.30
Median
$141.25
Typical High
$181.97
Christus
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$20.89
Typical High
$23.99
Cigna
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$707.95
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$107.15
Median
$151.36
Typical High
$331.13
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$14.13
Median
$19.95
Typical High
$42.66
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$93.33
Median
$131.83
Typical High
$295.12
Lucent Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,445.44
Lucent Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$141.25
Median
$141.25
Typical High
$186.21
Lucent Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,258.93
Moda Health
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$158.49
Typical High
$208.93
Moda Health
Setting
Facility
Modifier
TC · Technical part
Typical Low
$128.82
Median
$204.17
Typical High
$630.96
Moda Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$144.54
Typical High
$288.40
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$14.45
Median
$18.62
Typical High
$31.62
Moda Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$123.03
Typical High
$158.49
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$19.95
Median
$109.65
Typical High
$147.91
Providence
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$616.60
Typical High
$1,819.70
Providence
Setting
Professional
Modifier
None (both parts)
Typical Low
$102.33
Median
$151.36
Typical High
$331.13
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.18
Median
$19.95
Typical High
$42.66
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$131.83
Typical High
$295.12
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$630.96
Typical High
$831.76
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$154.88
Median
$190.55
Typical High
$288.40
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.50
Median
$23.99
Typical High
$36.31
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$134.90
Median
$165.96
Typical High
$251.19
Wellpoint
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Wellpoint
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Wellpoint
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
3 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
$109.65
Median
$162.18
Typical High
$602.56
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$93.33
Median
$117.49
Typical High
$181.97
Moda Health
Setting
Facility
Modifier
FX · Film X-ray
Typical Low
$104.71
Median
$162.18
Typical High
$630.96

Where Texas 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.

Texas· 50th of 51

$166

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.