go back

HIV Drug Resistance Genetic Test

Iowa 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?

$275

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $417 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$240$200 to $617
FacilityA hospital or hospital-owned outpatient department$417$302 to $676

How much rates vary

Facilitymedian $417 · 10th to 90th $257 to $741Professionalmedian $240 · 10th to 90th $170 to $1,698
$10.0$50.0$200.0$1.0Kfacility $417professional $240

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
$199.53
Median
$489.78
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$223.87
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$616.60
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$467.74
Typical High
$691.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$363.08
Typical High
$891.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$331.13
Typical High
$1,819.70
Midlands
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$338.84
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$213.80
Typical High
$724.44
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04

Where Iowa 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.

Iowa $275 · 24th 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.