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Non-Invasive Liver Stiffness Test

Nebraska 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 $22 · 10th–90th $21$220%20%40%10th$22Professionalmedian $33 · 10th–90th $12$810%5%10th90th$33$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
$21.38
Median
$21.38
Typical High
$22.39
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$60.26
Typical High
$165.96
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.00
Median
$15.49
Typical High
$53.70
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$18.20
Median
$23.99
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$22.39
Typical High
$31.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$46.77
Typical High
$64.57
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.00
Median
$16.22
Typical High
$22.39
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$18.20
Median
$28.84
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$66.07
Typical High
$81.28
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.50
Median
$23.44
Typical High
$31.62
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.84
Median
$43.65
Typical High
$53.70
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
$64.57
Typical High
$194.98
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$15.14
Median
$26.30
Typical High
$69.18
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$38.90
Typical High
$128.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$74.13
Typical High
$81.28
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$25.12
Typical High
$28.84
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.90
Median
$45.71
Typical High
$52.48
Midlands
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$67.61
Typical High
$72.44
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$23.44
Typical High
$25.70
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.90
Median
$43.65
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$64.57
Typical High
$87.10
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$15.14
Median
$25.12
Typical High
$34.67
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.70
Median
$39.81
Typical High
$54.95