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VLCAD Enzyme Activity Test

Nebraska 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?

$468

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $646 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$468$427 to $813
FacilityA hospital or hospital-owned outpatient department$646$257 to $1,698

How much rates vary

Facilitymedian $646 · 10th to 90th $56 to $1,862Professionalmedian $468 · 10th to 90th $427 to $1,175
$50$100$200$500$1K$2Kfacility $646professional $468

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
$501.19
Median
$1,862.09
Typical High
$3,548.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$58.88
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,096.48
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,380.38
Typical High
$1,698.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$467.74
Typical High
$3,388.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$645.65
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$426.58
Typical High
$1,412.54

Where Nebraska 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.

Nebraska· 49th of 51

$468

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.