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Non-Invasive Liver Stiffness Test

Massachusetts 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 $14 · 10th–90th $14$710%50%90th$14Professionalmedian $31 · 10th–90th $13$950%5%10th90th$31$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$13.80
Median
$13.80
Typical High
$13.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$45.71
Typical High
$177.83
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.00
Median
$15.49
Typical High
$61.66
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.78
Median
$21.38
Typical High
$39.81
AllWays Health Partners
Setting
Facility
Modifier
26 · Professional part
Typical Low
$22.91
Median
$25.70
Typical High
$70.79
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$53.70
Typical High
$194.98
AllWays Health Partners
Setting
Professional
Modifier
26 · Professional part
Typical Low
$11.22
Median
$18.62
Typical High
$69.18
AllWays Health Partners
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$34.67
Typical High
$128.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$64.57
Typical High
$186.21
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$15.14
Median
$20.42
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$50.12
Typical High
$100.00
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.72
Median
$19.05
Typical High
$33.88
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.50
Median
$32.36
Typical High
$66.07
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$22.91
Typical High
$51.29
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$66.07
Typical High
$104.71
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$12.02
Median
$16.98
Typical High
$29.51
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$33.11
Typical High
$61.66
Health New England
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$19.50
Typical High
$79.43
Mass General Brigham
Setting
Facility
Modifier
26 · Professional part
Typical Low
$22.91
Median
$25.70
Typical High
$70.79
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$53.70
Typical High
$194.98
Mass General Brigham
Setting
Professional
Modifier
26 · Professional part
Typical Low
$11.22
Median
$18.62
Typical High
$69.18
Mass General Brigham
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$34.67
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$56.23
Typical High
$104.71
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.18
Median
$19.95
Typical High
$34.67
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$35.48
Typical High
$69.18