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Blood Score Panel For Fatty Liver Disease

Pennsylvania 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.

How much does Blood Score Panel For Fatty Liver Disease cost?

$427

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $933 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$407$331 to $427
FacilityA hospital or hospital-owned outpatient department$933$537 to $1,259

How much rates vary

Facilitymedian $933 · 10th to 90th $427 to $1,905Professionalmedian $407 · 10th to 90th $269 to $550
$20$100$500$2Kfacility $933professional $407

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$977.24
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$407.38
Typical High
$426.58
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,454.71
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$758.58
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$660.69
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$295.12
Typical High
$724.44
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$501.19
Typical High
$870.96
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$741.31
Typical High
$1,348.96
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$977.24
Typical High
$1,737.80
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$407.38
Typical High
$776.25
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$1,230.27
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$501.19
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$501.19
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$758.58

Where Pennsylvania sits

The same service costs 4.3 times more in Colorado than in Oklahoma. 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.

Pennsylvania· 35th of 51

$427

CO $912OK $214

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.