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Non-Invasive Liver Stiffness Test

Oregon 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 $25 · 10th–90th $17$550%20%40%10th90th$25Professionalmedian $36 · 10th–90th $14$850%5%10%10th90th$36$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
$17.38
Median
$24.55
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$41.69
Typical High
$169.82
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$9.77
Median
$15.49
Typical High
$60.26
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.38
Median
$24.55
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$63.10
Typical High
$87.10
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$14.79
Median
$20.89
Typical High
$31.62
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$40.74
Typical High
$57.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$74.13
Typical High
$85.11
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.38
Median
$23.44
Typical High
$26.92
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$51.29
Typical High
$57.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$72.44
Typical High
$91.20
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.50
Median
$23.99
Typical High
$33.88
Moda Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.90
Median
$47.86
Typical High
$66.07
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$28.84
Typical High
$46.77
Providence
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$70.79
Typical High
$93.33
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.22
Median
$25.70
Typical High
$33.88
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$29.51
Median
$45.71
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
26 · Professional part
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$72.44
Typical High
$93.33
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.50
Median
$25.12
Typical High
$33.11
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$36.31
Median
$47.86
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$69.18
Typical High
$100.00
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$14.45
Median
$26.30
Typical High
$36.31
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$42.66
Typical High
$64.57