go back

Blood Score Panel For Fatty Liver Disease

New York 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 $871 · 10th–90th $355$1,3800%20%10th90th$871Professionalmedian $275 · 10th–90th $200$6760%20%40%10th90th$275$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$354.81
Median
$870.96
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$426.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$1,318.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$724.44
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$501.19
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,071.52
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$2,398.83
Typical High
$2,398.83
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$1,949.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$302.00
Typical High
$977.24
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$426.58
Typical High
$562.34
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,344.23
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$954.99
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$478.63
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$724.44
Univera
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$501.19
Typical High
$575.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$575.44