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Non-Invasive Liver Stiffness Test

Oklahoma 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$190%50%90th$10Professionalmedian $23 · 10th–90th $11$420%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
$9.77
Median
$9.77
Typical High
$19.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.84
Typical High
$44.67
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$9.55
Median
$10.00
Typical High
$16.22
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.38
Median
$18.62
Typical High
$27.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$39.81
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$29.51
Typical High
$40.74
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$43.65
Typical High
$53.70
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$11.22
Median
$17.78
Typical High
$22.39
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.05
Median
$25.70
Typical High
$32.36
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
$31.62
Median
$39.81
Typical High
$194.98
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$12.30
Median
$16.60
Typical High
$69.18
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.95
Median
$25.70
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$39.81
Typical High
$66.07
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$12.30
Median
$15.85
Typical High
$25.12
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.95
Median
$23.99
Typical High
$38.90