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HIV Drug Resistance Genetic Test

Illinois 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?

$219

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $204 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 5 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$204$178 to $245
FacilityA hospital or hospital-owned outpatient department$479$309 to $646

How much rates vary

Facilitymedian $479 · 10th to 90th $219 to $1,445Professionalmedian $204 · 10th to 90th $3 to $513
$10.0$100.0$1.0Kfacility $479professional $204

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
$208.93
Median
$426.58
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$218.78
Typical High
$524.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$691.83
Typical High
$2,691.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$177.83
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$354.81
Typical High
$512.86
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$501.19
Typical High
$851.14
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$309.03
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$194.98
Typical High
$363.08

Where Illinois 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.

Illinois $219 · 42nd 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.