I was just having a conversation with someone earlier today about how the average quality of most of the voice calls we make is far lower than it was decades ago on Ma Bell landlines. Of course, calls are much cheaper now, we have mobile phones, etc. Nonetheless...
Sprint's early on ads about hearing a pin drop on their fiberoptic network seem really quaint today.
We CAN provide high quality but we mostly don't want to make the tradeoffs to do so.
It's not like phone companies offered people "better call quality XOR another service", and people consistently picked the second option.
You can tell if your handset and network are enabled by making a call while on LTE; if your network indicator drops LTE when you make the call, it's not supported and enabled. Most carriers have a help page with a list of supported devices and how to enable it. I don't know if there's any good indicators that you have an end-to-end enabled call, unless you can tell from the sound quality.