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HIV Drug Resistance Genetic Test

Kentucky 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?

$209

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $275 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$126 to $257
FacilityA hospital or hospital-owned outpatient department$275$209 to $646

How much rates vary

Facilitymedian $275 · 10th to 90th $89 to $1,585Professionalmedian $204 · 10th to 90th $126 to $372
$50.0$100.0$200.0$500.0$1.0Kfacility $275professional $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
$89.13
Median
$323.59
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$208.93
Typical High
$371.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$354.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$363.08
Typical High
$489.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$331.13
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$660.69
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$537.03
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$257.04
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$213.80
Typical High
$363.08

Where Kentucky 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.

Kentucky $209 · 47th 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.