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HIV Drug Resistance Sequencing

North Dakota rates for HCPCS 0219U

Guides HIV treatment by sequencing three genes of the virus itself — protease, reverse transcriptase and integrase — to work out which antiviral drugs it is likely to resist. It reads the virus's genetic material, not the patient's own DNA.

Rates data updated July 2026.

How much does HIV Drug Resistance Sequencing cost?

$1,096

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $1,096 for this service. Most negotiated rates run $550 to $1,445.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $513 · 10th to 90th $513 to $1,318Professionalmedian $1,096 · 10th to 90th $513 to $1,622
$500$1Kfacility $513professional $1,096

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$676.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,380.38
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,047.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$549.54
Typical High
$1,318.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$851.14
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$741.31
Typical High
$1,122.02

Where North Dakota sits

The same service costs 5.5 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Dakota· 4th of 51

$1,096

AK $1,622KY $295

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.