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Split Lung Blood Flow Measurement

Illinois 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?

$245

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $692 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$229$85.11 to $269
FacilityA hospital or hospital-owned outpatient department$692$501 to $1,318

How much rates vary

Facilitymedian $692 · 10th to 90th $302 to $2,188Professionalmedian $229 · 10th to 90th $51 to $398
$50$100$200$500$1K$2Kfacility $692professional $229

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
$177.83
Typical High
$549.54
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$158.49
Median
$177.83
Typical High
$223.87
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$32.36
Typical High
$39.81
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$128.82
Median
$147.91
Typical High
$186.21
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$933.25
Typical High
$2,454.71
BCBS Illinois
Setting
Professional
Modifier
None (both parts)
Typical Low
$43.65
Median
$154.88
Typical High
$398.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$416.87
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$245.47
Typical High
$380.19
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$41.69
Typical High
$70.79
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$141.25
Median
$199.53
Typical High
$316.23
Hally Health
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$263.03
Typical High
$758.58
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$48.98
Typical High
$131.83
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$208.93
Typical High
$478.63
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$213.80
Median
$218.78
Typical High
$234.42
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,071.52
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$263.03
Typical High
$371.54
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$46.77
Typical High
$66.07
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$158.49
Median
$218.78
Typical High
$309.03
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
$125.89
Median
$144.54
Typical High
$144.54

Where Illinois 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.

Illinois· 30th of 51

$245

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.