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Enzyme Activity Test, Blood or Tissue

Maryland rates for HCPCS 82657

This is a laboratory test that measures how active a specific enzyme is in a blood, cell, or tissue sample, used when a more common, individually named enzyme test does not apply. It can help diagnose or monitor certain metabolic or inherited conditions where a particular enzyme is missing or not working properly.

Rates data updated October 2026.

How much does Enzyme Activity Test, Blood or Tissue cost?

$16.60

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $16.60 for this service. Most negotiated rates run $13.80 to $17.78.

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.

How much rates vary

Facilitymedian $14 · 10th to 90th $12 to $29Professionalmedian $17 · 10th to 90th $11 to $22
$10$20$50facility $14professional $17

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.60
Typical High
$16.98
CareFirst
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$17.78
Typical High
$17.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$14.45
Typical High
$28.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$19.95
Typical High
$54.95
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$25.70
Typical High
$37.15
United
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.96
Typical High
$16.98
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$17.78
Typical High
$17.78
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$8.13
Median
$8.32
Typical High
$8.32
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.31
Median
$3.31
Typical High
$3.31

Where Maryland sits

The same service costs 5.0 times more in Alaska than in Georgia. 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.

Maryland· 47th of 51

$16.60

AK $50.12GA $10.00

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.