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VLCAD Enzyme Activity Test

Utah 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?

$646

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $3,467 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$631$537 to $676
FacilityA hospital or hospital-owned outpatient department$3,467$646 to $3,467

How much rates vary

Facilitymedian $3,467 · 10th to 90th $646 to $4,467Professionalmedian $631 · 10th to 90th $490 to $759
$500$1K$2K$5Kfacility $3,467professional $631

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
$645.65
Median
$3,467.37
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$645.65
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,023.29
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$812.83
Typical High
$851.14
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$602.56
Typical High
$645.65
Select Health
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Select Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$933.25
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$630.96
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$707.95

Where Utah 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.

Utah· 23rd of 51

$646

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.