This blood test measures very long chain fatty acids, a type of fat molecule that builds up abnormally in certain rare inherited metabolic conditions, most notably adrenoleukodystrophy. It's typically ordered when a child or adult has symptoms suggesting one of these conditions, such as unexplained nerve or hormone gland problems, or as a follow-up to an abnormal newborn screening result. It requires only a standard blood draw.
Rates data updated July 2026.
How much does Blood Test For Very Long Chain Fatty Acids cost?
$32.36
Typical negotiated rate. In Hawaii, July 2026.
Insurers have agreed to pay about $32.36 for this service. Most negotiated rates run $24.55 to $41.69.
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 $19 · 10th to 90th $16 to $23Professionalmedian $33 · 10th to 90th $23 to $46
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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$19.50
Typical High
$23.44
Facility
Global
$16.22
$19.50
$23.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$23.44
Professional
Global
$14.45
$14.45
$23.44
HMSA
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$39.81
Typical High
$44.67
Professional
Global
$30.90
$39.81
$44.67
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.44
Typical High
$38.90
Professional
Global
$19.95
$23.44
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$25.12
Typical High
$34.67
Professional
Global
$8.32
$25.12
$34.67
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$33.11
Typical High
$46.77
Professional
Global
$21.88
$33.11
$46.77
Where Hawaii sits
The same service costs 3.2 times more in Nebraska than in Washington, DC. 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.