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VLCAD Enzyme Activity Test

Illinois 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?

$933

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $1,122 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$724$468 to $1,230
FacilityA hospital or hospital-owned outpatient department$1,122$741 to $1,413

How much rates vary

Facilitymedian $1,122 · 10th to 90th $708 to $1,514Professionalmedian $724 · 10th to 90th $389 to $1,445
$200$500$1K$2Kfacility $1,122professional $724

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
$1,122.02
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$724.44
Typical High
$1,445.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$954.99
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,548.82
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$870.96
Typical High
$1,096.48
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$933.25
Typical High
$1,288.25
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$707.95
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$707.95

Where Illinois 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.

Illinois· 3rd of 51

$933

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.