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HIV Drug Resistance Genetic Test

Maryland 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?

$204

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $204 for this service. Most negotiated rates run $186 to $240.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $794 · 10th to 90th $240 to $955Professionalmedian $200 · 10th to 90th $138 to $631
$5.0$20.0$100.0$500.0$2.0Kfacility $794professional $200

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
$263.03
Median
$954.99
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$208.93
Typical High
$630.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$204.17
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$512.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$239.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$251.19
Typical High
$251.19

Where Maryland 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.

Maryland $204 · 48th 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.