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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 July 2026.

How much rates vary

Facilitymedian $60 · 10th to 90th $32 to $85Professionalmedian $48 · 10th to 90th $34 to $158
$50$100$200facility $60professional $48

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$32.36
Median
$60.26
Typical High
$85.11
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$47.86
Typical High
$158.49
Hally Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$100.00
Median
$100.00
Typical High
$100.00