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Liver fibrosis screening test for adults concerned about long-term liver health risks

Liver Fibrosis (FIB-4) Index Blood Test

Liver Fibrosis, Fibrosis-4 (FIB-4) Index Panel

  • Screen for liver scarring risk
  • Assess long-term liver health
  • Track fatty liver disease progression
$49
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First results as soon as overnight*

All results normal? Get your money back. First-time customers only. File a support ticket titled “Money Back Guarantee” with your order number within 15 days of receiving your results. STD, Sickle Cell, and gift orders aren’t eligible. Full terms apply. guarantee
No questions asked refunds
LegitScript certified

Prescription & all lab fees included

Go directly to the lab, no extra fees

Doctor's guidance included

Easy to understand results

Fast & convenient

Lab visit as quick as 10 mins in & out

  • Many results come back overnight *
  • 90-day money back guarantee
  • Save time & skip the doctor’s office
  • Lab visit as quick as 10 minutes
  • Results explained, with clear next steps
  • LegitScript certified
  • No questions asked refunds
  • The price you see is the price you pay

Prescription & all lab fees included

Go directly to the lab, no extra fees

Doctor's guidance included

Easy to understand results

Fast & convenient

Lab visit as quick as 10 mins in & out

All results normal? Get your money back. First-time customers only. File a support ticket titled “Money Back Guarantee” with your order number within 15 days of receiving your results. STD, Sickle Cell, and gift orders aren’t eligible. Full terms apply. guarantee
No questions asked refunds
LegitScript certified

What's this test for?

This test is ideal if you're concerned about liver damage from conditions like fatty liver disease, hepatitis, heavy alcohol use, or long-term diabetes. It helps if you have risk factors for liver scarring but no obvious symptoms yet, since early liver fibrosis often causes no warning signs. Catching potential scarring early gives you a chance to make changes before it becomes serious.

What's included in this test?

This panel combines a few key liver-related measurements with your age to calculate a single risk score. It looks at liver enzymes that rise when liver cells are stressed or damaged, along with your platelet count, since low platelets can be a sign of advanced liver scarring. Together these numbers give a simple snapshot of your liver's condition without needing an invasive procedure.

What happens after I get my results?

Your FIB-4 score will appear in your account along with an explanation of what your result range means and how it compares to normal levels. If your score suggests a higher risk of liver scarring, next steps usually include reducing alcohol intake, managing blood sugar and weight, and retesting in several months to track changes. A downloadable lab report is available in your account, and you can use the trends feature to watch your score over time. If your result is very high, seek medical care promptly to have your liver further evaluated.

How should I naturally support liver health?
Cutting back on alcohol, added sugar, and processed foods can significantly reduce stress on your liver over time. Regular exercise and gradual weight loss, if needed, help reduce fat buildup in the liver, which is one of the biggest drivers of fibrosis risk. Staying hydrated, eating more fiber, and getting enough sleep also support your liver's natural repair processes.
When will I get my results?
Results are typically ready within about 7 days of your lab visit. You'll get a notification when your report is available in your account, where you can view your score and what it means in plain language.
Who should consider this test?
This test is a good option for people with fatty liver disease, chronic hepatitis, obesity, type 2 diabetes, or a history of heavy alcohol use. It's also worth considering if you have consistently abnormal liver enzyme results from a previous checkup. Anyone wanting a simple, non-invasive way to check their liver scarring risk can benefit.
What symptoms indicate I may need this test?
Many people with early liver fibrosis have no symptoms at all, which is why risk-based testing matters. However, signs like persistent fatigue, mild abdominal discomfort on the right side, unexplained weight loss, or swelling in the legs or abdomen can be worth investigating. If you've had abnormal liver enzyme results before, that's also a reason to check further.
What does a high FIB-4 score mean?
A high score suggests a greater likelihood of advanced liver scarring, called fibrosis, which means your liver may not be working as efficiently as it should. This doesn't confirm a diagnosis by itself, but it's a signal to take liver health seriously through lifestyle changes and further evaluation. Reducing alcohol, improving diet, and managing weight are good starting points.
How often should I retest my FIB-4 score?
If your first score is in the normal range and you have no major risk factors, retesting once a year is often reasonable. If your score is elevated or you're actively working on lifestyle changes, retesting every 3 to 6 months can help you track progress. Your trends dashboard makes it easy to see how your score changes over time.
What should I do if my results are abnormal?
Start by reviewing the lifestyle factors most linked to liver scarring, including alcohol use, diet, and weight. Making changes like cutting back on sugar and alcohol, increasing physical activity, and improving sleep can help over the following months. If your score is significantly elevated, seek medical care for further evaluation of your liver health.
How’s this work?
Getting your blood test with us is easy, private & backed by the power of science.

Long story short:
  1. In the test options, use the filters or search box to narrow your choices and find the test you want.
  2. If you need a hand navigating through options, text our super friendly support team at 754-799-7833, and we'll provide tailored suggestions to help you find the ideal test.
  3. Once your order is placed, we’ll create your doctor’s lab order remotely, without any need for you to make a trip to a doctor in person or to talk to the doctor. Expect to receive your doctor’s lab order right in your inbox. It will also be in your patient portal if you need to find it later. We’ll also include instructions regarding fasting and other requirements for your test. Your patient portal will be auto-created hassle-free during checkout.
  4. If this is your first time ordering, you'll be prompted to create a password for instant login access to your patient portal. It's a quick way to conveniently access your orders and results whenever you want.
  5. When you’re ready, visit one of our 4,000 locations. Just bring your ID – no printing or faxing of your lab order is needed, as your order and details will already be in the lab system.
  6. Note that most lab locations don’t accept walk-ins, so it’s best to book an appointment in advance. Don’t worry – we’ll provide detailed instructions along the way.
  7. You’ll get your results via email & SMS and dive into understanding your body better. Yup, that easy!
  8. If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.
How do I know which test to get?
In the test options, find the test you want. If you’re not sure which test to get, we can lend a hand in finding the right option.

Just text or call us at 754-799-7833, email us at [email protected], and we'll gladly help you. We've got your back and reply quickly.
Is it possible to make changes to my lab order if I made a mistake with the name, date of birth, or any other details?
Absolutely! We totally understand that errors can happen. No worries, we're here to help you.

Just reach out to us via text at 754-799-7833 or shoot us an email at [email protected]. Remember to include your order number and let us know the correct information you’d like to update. Our awesome team will jump right in and make sure everything is sorted out and accurate for you.

There are no changes necessary if your address is wrong on the requisition though. We don’t mail anything out.

Our lab requires an address to be listed to generate an order.
Do you accept health insurance?
Only HSA & FSA is accepted.

Our services are strictly self-pay and cannot be submitted to your health insurance provider except for Health Savings Accounts or Flexible Savings Accounts.

This policy applies to all insurance companies, including federal health insurance programs like Medicare.

If you have any questions, please text us at 754-799-7833 or email [email protected].
Can I cancel my order?
Yes.

We get it – sometimes your needs change.

As long as your samples haven’t been collected yet, we’re happy to help you cancel your order.

If you have any further questions, please text us at 754-799-7833 or email [email protected].

You can read more about our cancellation policy here.
How can I find a lab location near me?
During the ordering process, you’ll be able to select a specific lab near you, with no strings attached! You can switch it up later easily and visit any of our authorized locations as long as it’s the same lab company you selected your test for (Quest Diagnostics or Labcorp).

Before you proceed with your order, feel free to browse through all our lab locations here. This will give you the peace of mind of knowing that there's a lab nearby your home, office or your favorite gym.

If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.

Here’s why 1,000,000+ customers chose us for affordable hassle-free private blood testing.

You get clinical lab reports & simplified health insights.
Save time & gas, go straight to the lab. Our doctors cover the rest.
Results start landing the next day after your lab visit.*
We don’t sell or share your data. Your time & privacy matter.
US-licensed doctors have your back if things get unclear.
No hidden fees, nice discounts for regular checkups.
Save a trip to the doctor, go directly to the lab
Get lab order in minutes, results come overnight*
Results explained in simple language
Reviewed by US licensed doctors
Fast & confidential, we never sell or share your data
No insurance needed, transparent pricing
Demo results
FIB-4 Index Score 1.2
Demo results
Low Risk (<1.45) Indeterminate (1.45-3.25) High Risk (>3.25)
1.2

What this means

A FIB-4 score of 1.2 falls in the low-risk range, suggesting advanced liver scarring is unlikely at this time. This is a reassuring result, though it's still worth maintaining liver-friendly habits, especially if you have risk factors like fatty liver or heavy alcohol use.

* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More advanced tests may take longer due to complexity.
Here’s how easy it is to get blood work done on your terms
Choose a checkup
Order your test Save a trip to the doctor. Your results will come with clear, friendly explanations. Takes 2 minutes
Book a lab
Book an appointment Visit any of our 4,000 nearby lab locations to have your samples collected. Book or walk-in
Choose a checkup
Get results Receive a clear, easy-to-digest health report by email & SMS within a few business days. Get answers, fast

Find a lab near you

Search Quest Diagnostics and LabCorp locations available through Private MD Labs.

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Liver Fibrosis (FIB-4) Index Blood Test

  • Screen for liver scarring risk
  • Assess long-term liver health
  • Track fatty liver disease progression
$49
Still got questions? Text our super-cool support team at 754-799-7833 to get help finding your ideal checkup.
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For informational purposes only. Not medical advice.