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HIV Viral Load Test

New York 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 $182 · 10th–90th $72$3390%10%20%10th90th$182Professionalmedian $72 · 10th–90th $42$1910%20%10th90th$72$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$72.44
Median
$194.98
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$72.44
Typical High
$154.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$218.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$223.87
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$85.11
Typical High
$85.11
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$85.11
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$218.78
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$120.23
Typical High
$436.52
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$85.11
Typical High
$190.55
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$72.44
Typical High
$162.18
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$85.11
Typical High
$141.25
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$218.78
Typical High
$389.05
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$162.18
Typical High
$446.68
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$85.11
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$77.62
Typical High
$190.55
Univera
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$204.17
Univera
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$91.20
Typical High
$263.03