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Maple Syrup Urine Disease Gene Test

South Carolina 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 $178 · 10th–90th $74$4470%10%10th90th$178Professionalmedian $74 · 10th–90th $58$1020%50%10th90th$74$10.0$20.0$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
$66.07
Median
$234.42
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$85.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$102.33
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$52.48
Typical High
$114.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$91.20
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$95.50
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$57.54
Typical High
$95.50