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Maple Syrup Urine Disease Gene Test

Tennessee 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 $145 · 10th–90th $71$4070%10%10th90th$145Professionalmedian $76 · 10th–90th $58$2040%20%10th90th$76$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$70.79
Median
$144.54
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$75.86
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$107.15
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$181.97
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$58.88
Typical High
$131.83
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$707.95
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$95.50
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$57.54
Typical High
$95.50