go back

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 July 2026.

How much does HIV Drug Resistance Genetic Test cost?

$245

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $245 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 6 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$224$195 to $245
FacilityA hospital or hospital-owned outpatient department$245$245 to $309

How much rates vary

Facilitymedian $245 · 10th to 90th $219 to $447Professionalmedian $224 · 10th to 90th $191 to $339
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $245professional $224

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
$218.78
Median
$245.47
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$295.12
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$194.98
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$208.93
Typical High
$575.44
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$851.14
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$338.84
Typical High
$489.78
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$316.23
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$229.09
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$213.80
Typical High
$363.08

Where Michigan 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.

Michigan $245 · 36th 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.