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HIV Drug Resistance Genetic Test

Nebraska 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?

$417

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $575 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$170$170 to $708
FacilityA hospital or hospital-owned outpatient department$575$380 to $1,047

How much rates vary

Facilitymedian $575 · 10th to 90th $155 to $2,188Professionalmedian $170 · 10th to 90th $155 to $1,698
$100.0$200.0$500.0$1.0K$2.0Kfacility $575professional $170

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
$616.60
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$457.09
Typical High
$1,862.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$398.11
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$489.78
Typical High
$616.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$389.05
Typical High
$851.14
Medica
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$1,819.70
Midlands
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$245.47
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$154.88
Typical High
$707.95

Where Nebraska 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.

Nebraska $417 · 4th 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.