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VLCAD Enzyme Activity Test

Arizona 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?

$562

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $1,023 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 5 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$302 to $479
FacilityA hospital or hospital-owned outpatient department$1,023$550 to $1,950

How much rates vary

Facilitymedian $1,023 · 10th to 90th $427 to $2,818Professionalmedian $479 · 10th to 90th $302 to $759
$500$1K$2Kfacility $1,023professional $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
$549.54
Median
$1,096.48
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$478.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,778.28
Typical High
$3,311.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$602.56
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$549.54
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$870.96
Typical High
$1,096.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$537.03
Typical High
$3,388.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$707.95
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$707.95

Where Arizona 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.

Arizona· 37th of 51

$562

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.