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HIV Drug Resistance Genetic Test

Idaho 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?

$269

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $437 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$263$240 to $324
FacilityA hospital or hospital-owned outpatient department$437$257 to $646

How much rates vary

Facilitymedian $437 · 10th to 90th $257 to $776Professionalmedian $263 · 10th to 90th $182 to $501
$100.0$200.0$500.0$1.0Kfacility $437professional $263

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
$467.74
Median
$602.56
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$295.12
Typical High
$501.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$512.86
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$263.03
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$537.03
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$190.55
Typical High
$478.63
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$478.63
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$263.03
Typical High
$323.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$223.87
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$933.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$269.15
Select Health
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$524.81
Select Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$363.08

Where Idaho 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.

Idaho $269 · 25th 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.