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Split Lung Blood Flow Measurement

West 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?

$257

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $575 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$240$174 to $490
FacilityA hospital or hospital-owned outpatient department$575$437 to $1,122

How much rates vary

Facilitymedian $575 · 10th to 90th $282 to $1,585Professionalmedian $240 · 10th to 90th $158 to $562
$200$500$1Kfacility $575professional $240

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
TC · Technical part
Typical Low
$138.04
Median
$275.42
Typical High
$346.74
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$436.52
Typical High
$575.44
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$213.80
Median
$549.54
Typical High
$870.96
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Highmark BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
United
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$147.91
Median
$257.04
Typical High
$489.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$45.71
Typical High
$97.72
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$204.17
Typical High
$389.05

Where West 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.

West Virginia· 26th of 51

$257

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.