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Maple Syrup Urine Disease Gene Test

Kansas 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 $166 · 10th–90th $91$2240%10%10th90th$166Professionalmedian $91 · 10th–90th $58$1450%10%20%10th90th$91$10.0$20.0$50.0$100.0$200.0$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
$100.00
Median
$165.96
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$102.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$151.36
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$91.20
Typical High
$114.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$138.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$57.54
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$57.54
Typical High
$141.25