go back

Non-Invasive Liver Stiffness Test

Kentucky 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 $13 · 10th–90th $4$200%10%20%10th90th$13Professionalmedian $27 · 10th–90th $12$810%5%10%10th90th$27$2.0$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
$10.23
Median
$13.49
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$38.90
Typical High
$173.78
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.00
Median
$14.79
Typical High
$61.66
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$18.20
Median
$21.38
Typical High
$36.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.84
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$9.55
Median
$12.02
Typical High
$16.60
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$33.11
Typical High
$42.66
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$12.02
Median
$14.13
Typical High
$18.20
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$15.85
Median
$18.62
Typical High
$25.12
CareSource
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$18.62
Typical High
$35.48
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$2.75
Median
$12.88
Typical High
$18.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$47.86
Typical High
$162.18
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.96
Median
$19.05
Typical High
$53.70
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.78
Median
$30.20
Typical High
$109.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$39.81
Typical High
$67.61
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$12.59
Median
$16.22
Typical High
$26.92
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$18.62
Median
$23.44
Typical High
$40.74