go back

HIV Viral Load Test

Wisconsin 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 $295 · 10th–90th $95$7590%10%20%10th90th$295Professionalmedian $123 · 10th–90th $42$4790%10%10th90th$123$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$95.50
Median
$501.19
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$128.82
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$229.09
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$354.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$114.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$251.19
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$204.17
Typical High
$263.03
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$467.74
Typical High
$676.08
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$562.34
Medica
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$407.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$74.13
Typical High
$549.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$64.57
Typical High
$165.96
Network Health
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$245.47
Network Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$144.54
Typical High
$239.88
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$257.04
Quartz
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$199.53
Typical High
$295.12
Quartz
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$407.38
Typical High
$407.38
Quartz
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$478.63
Typical High
$741.31
Security Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$186.21
Security Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$75.86
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$95.50
Typical High
$363.08