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HIV Viral Load Test

Massachusetts rates for HCPCS 87536

This laboratory test measures the amount of HIV genetic material in a blood sample, giving a numeric result rather than just a positive or negative answer. It is used to monitor how well HIV treatment is controlling the virus and to track the infection over time.

Rates data updated July 2026.

Facilitymedian $209 · 10th–90th $85$5620%10%10th90th$209Professionalmedian $85 · 10th–90th $54$2240%20%40%10th90th$85$50.0$200.0$1.0K$5.0K$20.0K

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
$85.11
Median
$251.19
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$77.62
Typical High
$257.04
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$120.23
Typical High
$275.42
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$85.11
Typical High
$741.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$208.93
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$138.04
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$91.20
Typical High
$223.87
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$831.76
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$123.03
Typical High
$144.54
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$154.88
Health New England
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$389.05
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$120.23
Typical High
$275.42
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$85.11
Typical High
$741.31
Tufts
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$144.54
Tufts
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$85.11
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$85.11
Typical High
$190.55