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HIV Drug Resistance Genetic Test

Georgia 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?

$229

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $347 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 7 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$186$141 to $245
FacilityA hospital or hospital-owned outpatient department$347$229 to $468

How much rates vary

Facilitymedian $347 · 10th to 90th $126 to $891Professionalmedian $186 · 10th to 90th $126 to $479
$100.0$200.0$500.0$1.0K$2.0Kfacility $347professional $186

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
$436.52
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$223.87
Typical High
$489.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$331.13
Typical High
$467.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$416.87
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$234.42
Typical High
$616.60
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$323.59
Typical High
$489.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$229.09
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$114.82
Typical High
$363.08

Where Georgia 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.

Georgia $229 · 39th 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.