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Non-Invasive Liver Stiffness Test

Louisiana 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 $19 · 10th–90th $16$390%20%10th90th$19Professionalmedian $23 · 10th–90th $11$430%5%10%10th90th$23$10.0$20.0$50.0$100.0

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
$16.22
Median
$19.50
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$36.31
Typical High
$53.70
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$9.55
Median
$13.80
Typical High
$21.38
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$18.20
Median
$23.99
Typical High
$32.36
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$32.36
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.47
Median
$10.72
Typical High
$20.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$38.90
Typical High
$43.65
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$11.75
Median
$13.80
Typical High
$16.22
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$21.38
Median
$25.12
Typical High
$27.54
Christus
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.96
Median
$19.05
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$38.90
Typical High
$61.66
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.23
Median
$14.45
Typical High
$24.55
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$18.20
Median
$23.99
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$38.02
Typical High
$63.10
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.72
Median
$14.45
Typical High
$24.55
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$16.60
Median
$23.44
Typical High
$37.15