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HIV Drug Resistance Genetic Test

North Dakota 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?

$389

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $195 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$437$240 to $525
FacilityA hospital or hospital-owned outpatient department$195$182 to $240

How much rates vary

Facilitymedian $195 · 10th to 90th $182 to $468Professionalmedian $437 · 10th to 90th $182 to $589
$100.0$200.0$500.0$1.0Kfacility $195professional $437

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
$181.97
Median
$181.97
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$776.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$363.08
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$309.03
Typical High
$436.52

Where North Dakota 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 Dakota $389 · 6th 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.