go back

Blood Score Panel For Fatty Liver Disease

Idaho rates for HCPCS 0003M

Assesses liver damage in non-alcoholic fatty liver disease without needing a biopsy. Ten measurements from a serum sample, among them ALT, AST, GGT, total bilirubin, triglycerides, haptoglobin, alpha-2-macroglobulin and apolipoprotein A-1, are combined by a formula into three separate scores: one for scarring, one for fat in the liver, and one for inflammation.

Rates data updated July 2026.

Facilitymedian $759 · 10th–90th $501$1,5850%20%10th90th$759Professionalmedian $501 · 10th–90th $214$6610%20%10th90th$501$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,318.26
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$1,318.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$870.96
Typical High
$1,819.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$489.78
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,047.13
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$524.81
Typical High
$660.69
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$691.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$602.56
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$977.24
Typical High
$1,819.70
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$426.58
Typical High
$524.81
Select Health
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$660.69
Select Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$501.19