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Split Lung Blood Flow Measurement

Missouri 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?

$234

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $479 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$229$191 to $316
FacilityA hospital or hospital-owned outpatient department$479$275 to $1,047

How much rates vary

Facilitymedian $479 · 10th to 90th $209 to $1,259Professionalmedian $229 · 10th to 90th $170 to $617
$200$500$1K$2Kfacility $479professional $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
$162.18
Median
$204.17
Typical High
$251.19
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$162.18
Median
$181.97
Typical High
$407.38
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$33.88
Typical High
$87.10
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$147.91
Typical High
$371.54
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$199.53
Typical High
$323.59
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$43.65
Typical High
$60.26
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$138.04
Median
$165.96
Typical High
$263.03
BCBS Kansas City
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$229.09
Typical High
$457.09
BCBS Kansas City
Setting
Professional
Modifier
None (both parts)
Typical Low
$190.55
Median
$194.98
Typical High
$295.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$575.44
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$131.83
Median
$239.88
Typical High
$398.11
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$43.65
Typical High
$75.86
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$199.53
Typical High
$323.59
Medica
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$389.05
Typical High
$1,230.27
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$199.53
Median
$338.84
Typical High
$1,230.27
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$63.10
Typical High
$213.80
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$165.96
Median
$288.40
Typical High
$1,023.29
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,318.26
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$190.55
Median
$263.03
Typical High
$630.96
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$45.71
Typical High
$114.82
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$158.49
Median
$218.78
Typical High
$512.86
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
$128.82
Median
$134.90
Typical High
$158.49

Where Missouri 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.

Missouri· 32nd of 51

$234

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.