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Split Lung Blood Flow Measurement

Maryland 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?

$186

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $186 for this service. Most negotiated rates run $166 to $204.

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.

How much rates vary

Professionalmedian $186 · 10th to 90th $32 to $302
$50$100$200$500professional $186

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
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$181.97
Typical High
$190.55
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$30.20
Typical High
$33.11
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$138.04
Median
$151.36
Typical High
$158.49
CareFirst
Setting
Professional
Modifier
None (both parts)
Typical Low
$31.62
Median
$186.21
Typical High
$204.17
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$35.48
Typical High
$35.48
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$169.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$165.96
Typical High
$467.74
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$28.18
Typical High
$69.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$120.23
Median
$138.04
Typical High
$389.05
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$218.78
Typical High
$380.19
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$39.81
Typical High
$58.88
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$151.36
Median
$181.97
Typical High
$316.23
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$147.91
Median
$213.80
Typical High
$602.56
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$36.31
Typical High
$100.00
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$177.83
Typical High
$501.19
Wellpoint
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$169.82
Typical High
$302.00
Wellpoint
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$30.20
Typical High
$52.48
Wellpoint
Setting
Professional
Modifier
TC · Technical part
Typical Low
$141.25
Median
$141.25
Typical High
$251.19
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
$134.90
Median
$134.90
Typical High
$144.54

Where Maryland 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.

Maryland· 48th of 51

$186

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.