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HIV Drug Resistance Genetic Test

Indiana 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?

$240

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $257 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 4 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$209$186 to $214
FacilityA hospital or hospital-owned outpatient department$257$257 to $513

How much rates vary

Facilitymedian $257 · 10th to 90th $257 to $776Professionalmedian $209 · 10th to 90th $126 to $245
$10.0$50.0$200.0$1.0Kfacility $257professional $209

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
$309.03
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$208.93
Typical High
$245.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$776.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$257.04
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$234.42
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$257.04
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$316.23

Where Indiana 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.

Indiana $240 · 37th 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.