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Split Lung Blood Flow Measurement

Georgia rates for HCPCS 78597

A nuclear medicine study that measures what share of the blood reaching the lungs goes to each side. A tracer is given into a vein, a camera records where it lodges, and the result is reported as a percentage for each lung. Surgeons use it to judge how much lung function a person would keep if part of a lung had to be removed.

Rates data updated October 2026.

How much does Split Lung Blood Flow Measurement cost?

$240

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $316 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$234$195 to $302
FacilityA hospital or hospital-owned outpatient department$316$251 to $447

How much rates vary

Facilitymedian $316 · 10th to 90th $182 to $525Professionalmedian $234 · 10th to 90th $170 to $427
$100$200$500facility $316professional $234

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
$173.78
Typical High
$173.78
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$151.36
Median
$173.78
Typical High
$457.09
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$30.90
Typical High
$77.62
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$123.03
Median
$144.54
Typical High
$380.19
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$309.03
Typical High
$524.81
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$234.42
Typical High
$380.19
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$39.81
Typical High
$67.61
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$138.04
Median
$204.17
Typical High
$295.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$331.13
Typical High
$446.68
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$199.53
Median
$338.84
Typical High
$501.19
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$58.88
Typical High
$91.20
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$162.18
Median
$281.84
Typical High
$407.38
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$323.59
Typical High
$1,000.00
Oscar Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$48.98
Median
$218.78
Typical High
$263.03
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$199.53
Median
$263.03
Typical High
$489.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$46.77
Typical High
$85.11
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$165.96
Median
$218.78
Typical High
$407.38
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
$120.23
Median
$138.04
Typical High
$147.91

Where Georgia sits

The same service costs 4.6 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.

Georgia· 31st of 51

$240

AK $741FL $162

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.