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HIV Drug Resistance Genetic Test

Kansas 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?

$347

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $562 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$251$195 to $347
FacilityA hospital or hospital-owned outpatient department$562$372 to $813

How much rates vary

Facilitymedian $562 · 10th to 90th $275 to $955Professionalmedian $251 · 10th to 90th $170 to $347
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $562professional $251

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
$275.42
Median
$602.56
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$223.87
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$446.68
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$245.47
Typical High
$616.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$331.13
Typical High
$549.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$213.80
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$257.04
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$213.80
Typical High
$407.38

Where Kansas 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.

Kansas $347 · 10th 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.