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Maple Syrup Urine Disease Gene Test

Texas 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 $115 · 10th–90th $58$4470%10%10th90th$115Professionalmedian $71 · 10th–90th $5$1290%10%10th90th$71$2.0$10.0$50.0$200.0

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
$58.88
Median
$131.83
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$72.44
Typical High
$125.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$52.48
Typical High
$128.82
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$97.72
Typical High
$165.96
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$95.50
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$141.25
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$95.50
Typical High
$162.18
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$95.50
Typical High
$158.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$95.50
Typical High
$141.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$95.50
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$102.33
Typical High
$204.17
Providence
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$102.33
Typical High
$263.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$102.33
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$95.50
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$95.50
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$95.50
Typical High
$128.82