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VLCAD Enzyme Activity Test

Oregon 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 Oregon, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $708 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 8 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$692$646 to $776
FacilityA hospital or hospital-owned outpatient department$708$708 to $708

How much rates vary

Facilitymedian $708 · 10th to 90th $708 to $1,905Professionalmedian $692 · 10th to 90th $427 to $955
$100$200$500$1K$2Kfacility $708professional $692

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
$1,995.26
Median
$3,235.94
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$691.83
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$812.83
Typical High
$1,023.29
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,584.89
Typical High
$1,819.70
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$851.14
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$776.25
Typical High
$977.24
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$851.14
Typical High
$1,905.46
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$776.25
Typical High
$891.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,137.96
Typical High
$2,818.38
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$645.65
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$1,071.52
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$851.14

Where Oregon 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.

Oregon· 15th 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.