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Split Lung Blood Flow Measurement

Vermont 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?

$295

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $2,455 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$275$251 to $363
FacilityA hospital or hospital-owned outpatient department$2,455$2,089 to $2,455

How much rates vary

Facilitymedian $2,455 · 10th to 90th $1,660 to $2,455Professionalmedian $275 · 10th to 90th $209 to $776
$200$500$1K$2Kfacility $2,455professional $275

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$1,659.59
Typical High
$2,089.30
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$794.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$269.15
Typical High
$776.25
United
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$316.23
Typical High
$851.14

Where Vermont 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.

Vermont· 15th of 51

$295

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.