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HIV Drug Resistance Genetic Test

Florida 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?

$234

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $479 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 8 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$224$209 to $288
FacilityA hospital or hospital-owned outpatient department$479$229 to $759

How much rates vary

Facilitymedian $479 · 10th to 90th $126 to $1,202Professionalmedian $224 · 10th to 90th $155 to $372
$10.0$100.0$1.0Kfacility $479professional $224

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
$125.89
Median
$489.78
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$223.87
Typical High
$371.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
AvMed
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$257.04
Typical High
$346.74
AvMed
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$512.86
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$478.63
Typical High
$478.63
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$302.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$229.09
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$151.36
Typical High
$407.38
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$257.04

Where Florida 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.

Florida $234 · 38th 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.