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Maple Syrup Urine Disease Gene Test

Oregon 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 $105 · 10th–90th $95$2290%20%40%10th90th$105Professionalmedian $105 · 10th–90th $81$1860%20%10th90th$105$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
$123.03
Median
$177.83
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$169.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$204.17
Typical High
$251.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$95.50
Typical High
$131.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$104.71
Typical High
$131.83
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$190.55
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$190.55
Providence
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$131.83
Typical High
$275.42
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$144.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$281.84
Typical High
$346.74
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$81.28
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$114.82