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Maple Syrup Urine Disease Gene Test

Utah 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 $138 · 10th–90th $100$1910%20%10th90th$138Professionalmedian $95 · 10th–90th $44$1380%20%10th90th$95$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
$138.04
Median
$138.04
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$100.00
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$114.82
Typical High
$204.17
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$109.65
Typical High
$389.05
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$107.15
Select Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$83.18
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$95.50