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HIV Drug Resistance Genetic Test

Colorado rates for HCPCS 87901

This is a molecular test that examines the genetic makeup of the HIV virus in a patient's blood, looking for mutations that make certain antiretroviral medications less effective. Results help guide which combination of medications is most likely to control the virus for a particular patient.

Rates data updated July 2026.

How much does HIV Drug Resistance Genetic Test cost?

$331

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $631 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$195$195 to $257
FacilityA hospital or hospital-owned outpatient department$631$339 to $1,072

How much rates vary

Facilitymedian $631 · 10th to 90th $200 to $1,230Professionalmedian $195 · 10th to 90th $151 to $389
$100.0$500.0$2.0K$10.0Kfacility $631professional $195

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
$194.98
Median
$537.03
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$194.98
Typical High
$446.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$758.58
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$257.04
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$426.58
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$524.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$851.14
Select Health
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$478.63
Typical High
$537.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$257.04
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$281.84
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$190.55

Where Colorado sits

The same service costs 4.0 times more in Alaska than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $331 · 13th of 51
AK $575VT $145

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.