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VLCAD Enzyme Activity Test

Colorado 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?

$741

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $1,995 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 7 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$537$447 to $603
FacilityA hospital or hospital-owned outpatient department$1,995$1,202 to $3,020

How much rates vary

Facilitymedian $1,995 · 10th to 90th $708 to $3,631Professionalmedian $537 · 10th to 90th $302 to $676
$10$50$200$1K$5Kfacility $1,995professional $537

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
$2,511.89
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$575.44
Typical High
$676.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,137.96
Typical High
$3,630.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$302.00
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$467.74
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$851.14
Typical High
$1,023.29
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$645.65
Typical High
$912.01
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Select Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,318.26
Typical High
$1,479.11
Select Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$741.31
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$676.08

Where Colorado 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.

Colorado· 11th of 51

$741

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.