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VLCAD Enzyme Activity Test

Alaska rates for HCPCS 0257U

Measures how well the enzyme VLCAD is working in white blood cells from a whole blood sample. VLCAD helps the body break down certain fats for energy; this test measures the enzyme's activity rather than examining the gene that makes it.

Rates data updated July 2026.

How much does VLCAD Enzyme Activity Test cost?

$708

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $550 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,585$708 to $1,585
FacilityA hospital or hospital-owned outpatient department$550$427 to $813

How much rates vary

Facilitymedian $550 · 10th to 90th $427 to $3,236Professionalmedian $1,585 · 10th to 90th $708 to $2,818
$500$1K$2K$5Kfacility $550professional $1,585

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$5,128.61
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,023.29
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$537.03
Typical High
$812.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$2,290.87
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,818.38
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,584.89
Typical High
$1,584.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$851.14
Providence
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$707.95
Typical High
$2,137.96

Where Alaska sits

The same service costs 3.6 times more in North Dakota than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 12th of 51

$708

ND $1,096OK $302

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.