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Maple Syrup Urine Disease Gene Test

North Dakota 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 October 2026.

How much does Maple Syrup Urine Disease Gene Test cost?

$123

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $95.50 to $162.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $66 · 10th to 90th $66 to $112Professionalmedian $138 · 10th to 90th $49 to $191
$50$100$200facility $66professional $138

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$89.13
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$162.18
Typical High
$190.55
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$131.83
Median
$194.98
Typical High
$229.09
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$21.88
Median
$32.36
Typical High
$38.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$138.04
Typical High
$169.82
Medica
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$199.53
Medica
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$114.82
Typical High
$162.18
United
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$107.15
Typical High
$138.04

Where North Dakota sits

The same service costs 3.7 times more in Alaska than in New Mexico. 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.

North Dakota· 8th of 51

$123

AK $214NM $57.54

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.