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VLCAD Enzyme Activity Test

New Hampshire 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?

$575

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $1,380 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$550$468 to $1,175
FacilityA hospital or hospital-owned outpatient department$1,380$1,349 to $3,090

How much rates vary

Facilitymedian $1,380 · 10th to 90th $1,148 to $4,074Professionalmedian $550 · 10th to 90th $427 to $1,349
$10$50$200$1K$5Kfacility $1,380professional $550

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
$1,000.00
Median
$1,819.70
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,380.38
Typical High
$4,073.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$467.74
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,290.87
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,023.29
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,230.27
Typical High
$1,778.28
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$707.95

Where New Hampshire 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.

New Hampshire· 35th of 51

$575

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.