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Maple Syrup Urine Disease Gene Test

New Jersey 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 $229 · 10th–90th $120$5,6230%10%10th90th$229Professionalmedian $95 · 10th–90th $63$1380%20%10th90th$95$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$120.23
Median
$302.00
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$125.89
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$208.93
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$102.33
Typical High
$208.93
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$100.00
Typical High
$154.88
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$95.50
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$57.54
Typical High
$100.00