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VLCAD Enzyme Activity Test

Kansas 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 Kansas, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $1,230 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$575$501 to $891
FacilityA hospital or hospital-owned outpatient department$1,230$708 to $1,549

How much rates vary

Facilitymedian $1,230 · 10th to 90th $468 to $1,698Professionalmedian $575 · 10th to 90th $427 to $891
$500$1K$2Kfacility $1,230professional $575

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
$691.83
Median
$1,318.26
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$575.44
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,288.25
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$831.76
Typical High
$1,047.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$549.54
Typical High
$954.99
Medica
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$707.95
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$1,148.15

Where Kansas 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.

Kansas· 21st 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.