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Non-Invasive Liver Stiffness Test

Missouri 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 $10 · 10th–90th $10$250%50%90th$10Professionalmedian $30 · 10th–90th $13$1510%5%10th90th$30$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
$10.23
Typical High
$12.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$66.07
Typical High
$177.83
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.00
Median
$13.80
Typical High
$63.10
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.38
Median
$22.39
Typical High
$47.86
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$42.66
Typical High
$50.12
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$11.22
Median
$14.45
Typical High
$16.22
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$37.15
Typical High
$56.23
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$12.59
Median
$15.14
Typical High
$23.99
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.38
Median
$21.88
Typical High
$34.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$41.69
Typical High
$52.48
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.96
Median
$14.13
Typical High
$19.95
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$25.70
Typical High
$32.36
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
$29.51
Median
$45.71
Typical High
$85.11
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.72
Median
$17.78
Typical High
$33.11
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.95
Median
$28.18
Typical High
$53.70
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$23.99
Median
$70.79
Typical High
$70.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$48.98
Typical High
$194.98
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.18
Median
$19.05
Typical High
$69.18
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.95
Median
$29.51
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$42.66
Typical High
$72.44
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$12.02
Median
$16.60
Typical High
$28.18
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.95
Median
$25.70
Typical High
$44.67