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Maple Syrup Urine Disease Gene Test

Virginia 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 $100 · 10th–90th $81$4470%20%10th90th$100Professionalmedian $71 · 10th–90th $38$1780%10%20%10th90th$71$10.0$50.0$200.0$1.0K$5.0K

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
$199.53
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$81.28
Typical High
$181.97
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$380.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$63.10
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$426.58
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$186.21
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$162.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$104.71
Typical High
$131.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$125.89
Typical High
$269.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$199.53
Typical High
$269.15
Sentara
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$134.90
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$134.90
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$109.65