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HIV Drug Resistance Genetic Test

Connecticut 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?

$288

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $437 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 5 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$234$191 to $437
FacilityA hospital or hospital-owned outpatient department$437$302 to $589

How much rates vary

Facilitymedian $437 · 10th to 90th $257 to $759Professionalmedian $234 · 10th to 90th $155 to $776
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $437professional $234

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
$257.04
Median
$436.52
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$776.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$407.38
Typical High
$691.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$323.59
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$575.44
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$602.56
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$346.74
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$218.78
Typical High
$446.68

Where Connecticut 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.

Connecticut $288 · 21st 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.