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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 July 2026.

How much does HIV Drug Resistance Genetic Test cost?

$209

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $295 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 4 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$200$174 to $214
FacilityA hospital or hospital-owned outpatient department$295$269 to $295

How much rates vary

Facilitymedian $295 · 10th to 90th $257 to $295Professionalmedian $200 · 10th to 90th $174 to $776
$100.0$200.0$500.0$1.0Kfacility $295professional $200

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
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$199.53
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$169.82
Typical High
$478.63
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$489.78

Where Delaware 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.

Delaware $209 · 46th 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.