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Enzyme Activity Test, Blood or Tissue

Virginia 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 July 2026.

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

$19.05

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $33.11 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 8 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$16.60$15.14 to $19.05
FacilityA hospital or hospital-owned outpatient department$33.11$22.39 to $83.18

How much rates vary

Facilitymedian $33 · 10th to 90th $19 to $288Professionalmedian $17 · 10th to 90th $9 to $42
$10.0$100.0$1.0K$10.0Kfacility $33professional $17

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
$19.05
Median
$48.98
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.98
Typical High
$41.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$89.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$15.14
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$85.11
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$45.71
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.49
Typical High
$31.62
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$26.30
Typical High
$33.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$30.20
Typical High
$35.48
Medcost
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$16.22
Typical High
$19.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$15.49
Typical High
$46.77
Sentara
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$28.84
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$28.84
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$22.39
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.96
Typical High
$19.05

Where Virginia sits

The same service costs 3.5 times more in Iowa than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Virginia $19.05 · 45th of 51
IA $58.88MD $16.60

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.