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VLCAD Enzyme Activity Test

West 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?

$589

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $891 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 4 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$537 to $589
FacilityA hospital or hospital-owned outpatient department$891$589 to $1,072

How much rates vary

Facilitymedian $891 · 10th to 90th $589 to $1,072Professionalmedian $575 · 10th to 90th $324 to $603
$500$1K$2Kfacility $891professional $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
$588.84
Median
$891.25
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$575.44
Typical High
$602.56
CareSource
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
CareSource
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,047.13
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$3,467.37
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$323.59
Typical High
$707.95

Where West 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.

West Virginia· 29th of 51

$589

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.