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HIV Drug Resistance Genetic Test

Washington, DC 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?

$195

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $708 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$195$191 to $200
FacilityA hospital or hospital-owned outpatient department$708$309 to $955

How much rates vary

Facilitymedian $708 · 10th to 90th $195 to $1,778Professionalmedian $195 · 10th to 90th $191 to $501
$1.0$10.0$100.0$1.0Kfacility $708professional $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
$707.95
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$194.98
Typical High
$199.53
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$741.31
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$436.52
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$302.00
Typical High
$1,174.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$501.19
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$309.03
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$239.88

Where Washington, DC 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.

Washington, DC $195 · 49th 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.