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VLCAD Enzyme Activity Test

Alabama 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?

$479

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $468 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 4 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$479$427 to $513
FacilityA hospital or hospital-owned outpatient department$468$20.89 to $813

How much rates vary

Facilitymedian $468 · 10th to 90th $18 to $813Professionalmedian $479 · 10th to 90th $355 to $603
$20$50$100$200$500$1Kfacility $468professional $479

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
$707.95
Median
$812.83
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$478.63
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$19.95
Typical High
$26.92
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$34.67
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$602.56
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$645.65
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$354.81
Typical High
$707.95

Where Alabama 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.

Alabama· 46th of 51

$479

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.