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Maple Syrup Urine Disease Gene Test

Massachusetts 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 $191 · 10th–90th $95$3090%10%20%10th90th$191Professionalmedian $95 · 10th–90th $78$2290%50%10th90th$95$50.0$200.0$1.0K$5.0K$20.0K

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
$95.50
Median
$165.96
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$281.84
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$275.42
Typical High
$446.68
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$190.55
Typical High
$269.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$79.43
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$100.00
Typical High
$245.47
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$3,630.78
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$138.04
Typical High
$162.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$162.18
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$275.42
Typical High
$446.68
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$213.80