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Computer Prediction Of Drug Resistance From Genetics

Maryland rates for HCPCS 87900

Takes the genetic sequence already obtained from a patient's infecting organism and runs it against a regularly updated database of known resistance patterns, to predict which medicines are likely to still work against it. It is an analysis step performed on sequence data rather than a laboratory test run on a fresh sample. It is used most often in HIV care but applies to other infectious organisms as well.

Rates data updated July 2026.

How much does Computer Prediction Of Drug Resistance From Genetics cost?

$105

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $105 for this service. Most negotiated rates run $93.33 to $120.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $759Professionalmedian $105 · 10th to 90th $74 to $513
$2$10$50$200facility $3professional $105

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
$2.14
Median
$2.69
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$107.15
Typical High
$512.86
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$104.71
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$269.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$154.88
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$77.62
Typical High
$117.49
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$128.82
Typical High
$128.82

Where Maryland sits

The same service costs 3.0 times more in Alaska than in Washington, DC. 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.

Maryland· 46th of 51

$105

AK $295DC $97.72

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.