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Non-Invasive Liver Stiffness Test

Iowa rates for HCPCS 91200

This is a quick, painless test that uses gentle vibration and sound wave measurements taken through a handheld device pressed against the skin over the liver to estimate how stiff the liver tissue is. Increased stiffness can be a sign of scarring in the liver, so this test is used to help assess liver health without a surgical biopsy.

Rates data updated July 2026.

Facilitymedian $21 · 10th–90th $14$710%20%10th90th$21Professionalmedian $30 · 10th–90th $11$1480%5%10th90th$30$5.0$10.0$20.0$50.0$100.0$200.0

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
26 · Professional part
Typical Low
$14.45
Median
$21.38
Typical High
$22.39
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$40.74
Typical High
$169.82
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.00
Median
$14.13
Typical High
$61.66
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$18.20
Median
$22.39
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$64.57
Typical High
$100.00
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$12.02
Median
$21.38
Typical High
$35.48
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$21.88
Median
$42.66
Typical High
$67.61
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$45.71
Typical High
$281.84
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.47
Median
$15.85
Typical High
$104.71
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.38
Median
$23.99
Typical High
$151.36
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$74.13
Typical High
$194.98
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$15.49
Median
$27.54
Typical High
$69.18
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.99
Median
$44.67
Typical High
$128.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$74.13
Typical High
$134.90
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$28.18
Typical High
$57.54
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.90
Median
$47.86
Typical High
$77.62
Midlands
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$81.28
Typical High
$83.18
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$27.54
Typical High
$28.18
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$47.86
Median
$52.48
Typical High
$53.70
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$31.62
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$56.23
Typical High
$97.72
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$14.45
Median
$22.39
Typical High
$38.90
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$35.48
Typical High
$60.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$72.44
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.42
Median
$20.42
Typical High
$23.99
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$41.69
Median
$41.69
Typical High
$48.98