go back

VLCAD Enzyme Activity Test

Virginia 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?

$537

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $933 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 7 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$537$324 to $603
FacilityA hospital or hospital-owned outpatient department$933$603 to $1,778

How much rates vary

Facilitymedian $933 · 10th to 90th $501 to $3,388Professionalmedian $537 · 10th to 90th $9 to $708
$10$50$200$1K$5Kfacility $933professional $537

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
$602.56
Median
$1,348.96
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$602.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$3,715.35
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,778.28
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$812.83
Typical High
$1,023.29
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$1,047.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$467.74
Typical High
$812.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$812.83
Typical High
$1,819.70
Sentara
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$812.83
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$707.95
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$354.81
Typical High
$707.95

Where Virginia 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.

Virginia· 42nd of 51

$537

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.