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HIV Drug Resistance Genetic Test

Delaware 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 October 2026.

How much does HIV Drug Resistance Genetic Test cost?

$195

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $302 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$174$155 to $214
FacilityA hospital or hospital-owned outpatient department$302$195 to $661

How much rates vary

Facilitymedian $302 · 10th to 90th $166 to $1,738Professionalmedian $174 · 10th to 90th $107 to $479
$100$200$500$1Kfacility $302professional $174

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$562.34
Aetna
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$213.80
Typical High
$213.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$660.69
Cigna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$186.21
Typical High
$512.86
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$302.00
Typical High
$1,737.80
United
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$154.88
Typical High
$389.05

Where Delaware sits

The same service costs 3.7 times more in Alaska than in Georgia. 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.

Delaware· 45th of 51

$195

AK $575GA $155

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.