go back

Split Lung Blood Flow Measurement

New Jersey 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?

$229

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $447 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$219$182 to $316
FacilityA hospital or hospital-owned outpatient department$447$214 to $1,230

How much rates vary

Facilitymedian $447 · 10th to 90th $166 to $2,291Professionalmedian $219 · 10th to 90th $158 to $437
$200$500$1K$2K$5K$10Kfacility $447professional $219

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
$165.96
Median
$213.80
Typical High
$213.80
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$26.30
Median
$34.67
Typical High
$34.67
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$138.04
Median
$177.83
Typical High
$338.84
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$186.21
Typical High
$380.19
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$30.90
Typical High
$61.66
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$138.04
Median
$151.36
Typical High
$316.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$588.84
Typical High
$812.83
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$138.04
Median
$251.19
Typical High
$436.52
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$40.74
Typical High
$69.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$117.49
Median
$208.93
Typical High
$371.54
Emblem Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$1,348.96
Typical High
$12,882.50
Horizon BCBS
Setting
Facility
Modifier
TC · Technical part
Typical Low
$398.11
Median
$16,982.44
Typical High
$27,542.29
Horizon BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$208.93
Median
$239.88
Typical High
$478.63
Horizon BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$38.90
Typical High
$77.62
Horizon BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$177.83
Median
$204.17
Typical High
$407.38
United
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$1,659.59
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$229.09
Typical High
$436.52
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$39.81
Typical High
$70.79
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$199.53
Typical High
$363.08
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
$131.83
Median
$131.83
Typical High
$169.82

Where New Jersey 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.

New Jersey· 35th of 51

$229

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.