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VLCAD Enzyme Activity Test

South Carolina 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 South Carolina, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $1,738 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$550 to $575
FacilityA hospital or hospital-owned outpatient department$1,738$708 to $2,291

How much rates vary

Facilitymedian $1,738 · 10th to 90th $501 to $3,388Professionalmedian $575 · 10th to 90th $501 to $708
$500$1K$2Kfacility $1,738professional $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
$1,318.26
Median
$2,290.87
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$575.44
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$758.58
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,819.70
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,023.29
Medcost
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$707.95
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$851.14

Where South Carolina 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.

South Carolina· 31st 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.