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Maple Syrup Urine Disease Gene Test

New Mexico 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?

$57.54

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $85.11 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$57.54$39.81 to $107
FacilityA hospital or hospital-owned outpatient department$85.11$61.66 to $302

How much rates vary

Facilitymedian $85 · 10th to 90th $62 to $316Professionalmedian $58 · 10th to 90th $40 to $138
$50$100$200facility $85professional $58

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
$70.79
Median
$302.00
Typical High
$316.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$114.82
Typical High
$114.82
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$95.50
Cigna
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$85.11
Typical High
$213.80
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$151.36
Typical High
$151.36
Providence
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Providence
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$125.89
Typical High
$138.04
United
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$57.54

Where New Mexico 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.

New Mexico· 51st of 51

$57.54

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.