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Split Lung Blood Flow Measurement

Ohio 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?

$209

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $646 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$200$170 to $263
FacilityA hospital or hospital-owned outpatient department$646$490 to $1,023

How much rates vary

Facilitymedian $646 · 10th to 90th $324 to $1,122Professionalmedian $200 · 10th to 90th $129 to $389
$50$100$200$500$1Kfacility $646professional $200

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
$309.03
Median
$575.44
Typical High
$1,047.13
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$38.02
Median
$89.13
Typical High
$120.23
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$251.19
Median
$380.19
Typical High
$562.34
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$302.00
Typical High
$676.08
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$48.98
Typical High
$131.83
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$138.04
Median
$229.09
Typical High
$524.81
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$1,023.29
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$194.98
Typical High
$338.84
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$34.67
Typical High
$58.88
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$138.04
Median
$162.18
Typical High
$263.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$794.33
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$173.78
Median
$234.42
Typical High
$537.03
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$44.67
Typical High
$91.20
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$141.25
Median
$190.55
Typical High
$436.52
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$741.31
Typical High
$1,380.38
Medical Mutual of Ohio
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$239.88
Typical High
$562.34
Medical Mutual of Ohio
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$44.67
Typical High
$91.20
Medical Mutual of Ohio
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$190.55
Typical High
$446.68
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$44.67
Median
$186.21
Typical High
$288.40
SummaCare
Setting
Professional
Modifier
None (both parts)
Typical Low
$181.97
Median
$229.09
Typical High
$331.13
United
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$954.99
Typical High
$1,348.96
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$158.49
Median
$213.80
Typical High
$489.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$39.81
Typical High
$93.33
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$173.78
Typical High
$398.11
2 more rates 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
Facility
Modifier
FX · Film X-ray
Typical Low
$138.04
Median
$446.68
Typical High
$831.76
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$134.90
Median
$134.90
Typical High
$537.03

Where Ohio 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.

Ohio· 41st of 51

$209

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.