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Split Lung Blood Flow Measurement

Virginia 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?

$214

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $229 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$214$182 to $269
FacilityA hospital or hospital-owned outpatient department$229$138 to $468

How much rates vary

Facilitymedian $229 · 10th to 90th $41 to $851Professionalmedian $214 · 10th to 90th $145 to $339
$50$200$1K$5Kfacility $229professional $214

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
$181.97
Median
$181.97
Typical High
$338.84
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$181.97
Typical High
$363.08
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$32.36
Typical High
$57.54
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$151.36
Typical High
$316.23
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$724.44
Typical High
$954.99
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$173.78
Median
$208.93
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$37.15
Typical High
$45.71
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$141.25
Median
$169.82
Typical High
$213.80
CareFirst
Setting
Professional
Modifier
None (both parts)
Typical Low
$31.62
Median
$186.21
Typical High
$275.42
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$35.48
Typical High
$39.81
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$169.82
Typical High
$177.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$467.74
Typical High
$933.25
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$269.15
Typical High
$389.05
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$46.77
Typical High
$67.61
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$138.04
Median
$218.78
Typical High
$323.59
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$229.09
Typical High
$263.03
Medcost
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$371.54
Medcost
Setting
Professional
Modifier
None (both parts)
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Sentara
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$186.21
Typical High
$645.65
Sentara
Setting
Professional
Modifier
None (both parts)
Typical Low
$43.65
Median
$223.87
Typical High
$446.68
Sentara
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$46.77
Typical High
$77.62
Sentara
Setting
Professional
Modifier
TC · Technical part
Typical Low
$158.49
Median
$223.87
Typical High
$363.08
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$831.76
Typical High
$1,862.09
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$302.00
Typical High
$416.87
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$53.70
Typical High
$74.13
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$134.90
Median
$257.04
Typical High
$346.74
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
$144.54
Median
$144.54
Typical High
$147.91

Where Virginia 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.

Virginia· 38th of 51

$214

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.