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HIV Drug Resistance Genetic Test

Michigan 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 October 2026.

How much does HIV Drug Resistance Genetic Test cost?

$245

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $245 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$245$195 to $309
FacilityA hospital or hospital-owned outpatient department$245$245 to $331

How much rates vary

Facilitymedian $245 · 10th to 90th $195 to $468Professionalmedian $245 · 10th to 90th $182 to $398
$10$20$50$100$200$500$1Kfacility $245professional $245

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$380.19
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$123.03
Median
$123.03
Typical High
$190.55
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$48.98
Median
$48.98
Typical High
$75.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$251.19
Typical High
$309.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$117.49
Median
$125.89
Typical High
$128.82
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$46.77
Median
$50.12
Typical High
$52.48
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$275.42
Typical High
$478.63
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$194.98
Typical High
$194.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$199.53
Typical High
$389.05
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$245.47
Typical High
$933.25
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$123.03
Median
$123.03
Typical High
$190.55
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$48.98
Median
$48.98
Typical High
$75.86
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$338.84
Typical High
$457.09
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Priority Health
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$199.53
Typical High
$363.08
United
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$229.09
Typical High
$309.03
United
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$213.80
Typical High
$363.08

Where Michigan sits

The same service costs 3.7 times more in Alaska than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 31st of 51

$245

AK $575GA $155

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.