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VLCAD Enzyme Activity Test

South Dakota 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?

$1,072

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $813 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 6 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$1,072$550 to $1,698
FacilityA hospital or hospital-owned outpatient department$813$676 to $813

How much rates vary

Facilitymedian $813 · 10th to 90th $501 to $1,318Professionalmedian $1,072 · 10th to 90th $479 to $1,698
$500$1K$2Kfacility $813professional $1,072

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. Small sample; interpret with caution. 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
$812.83
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$549.54
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,380.38
Typical High
$1,698.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$691.83
Typical High
$3,388.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$851.14
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,659.59
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$933.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95

Where South Dakota 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 Dakota· 2nd of 51

$1,072

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.