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HIV Drug Resistance Genetic Test

North Carolina 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?

$224

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $309 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$204$195 to $257
FacilityA hospital or hospital-owned outpatient department$309$204 to $813

How much rates vary

Facilitymedian $309 · 10th to 90th $182 to $851Professionalmedian $204 · 10th to 90th $135 to $389
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $309professional $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
$169.82
Median
$309.03
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$389.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$338.84
Typical High
$549.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$562.34
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$181.97
Typical High
$436.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Medcost
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$588.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$128.82
Typical High
$257.04
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,949.84

Where North Carolina 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.

North Carolina $224 · 41st 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.