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Maple Syrup Urine Disease Gene Test

Illinois rates for HCPCS 81205

A genetic test that looks for the common inherited changes in a gene needed to break down certain protein building blocks. Faults in it cause maple syrup urine disease, in which those building blocks build up and can make a baby seriously ill within days of birth; the name comes from the sweet smell of the urine. Only the frequently seen changes are checked, not the whole gene.

Rates data updated July 2026.

Facilitymedian $148 · 10th–90th $78$2630%10%10th90th$148Professionalmedian $78 · 10th–90th $3$1620%20%10th90th$78$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$147.91
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$81.28
Typical High
$173.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$331.13
Typical High
$1,202.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$66.07
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$199.53
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$114.82
Typical High
$162.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$239.88
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$57.54
Typical High
$95.50