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HIV Drug Resistance Genetic Test

New Hampshire 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?

$257

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $501 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$257$166 to $275
FacilityA hospital or hospital-owned outpatient department$501$437 to $1,000

How much rates vary

Facilitymedian $501 · 10th to 90th $302 to $1,479Professionalmedian $257 · 10th to 90th $93 to $479
$10.0$50.0$200.0$1.0Kfacility $501professional $257

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
$302.00
Median
$371.54
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$371.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$501.19
Typical High
$1,479.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$165.96
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$977.24
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$269.15
Typical High
$741.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$239.88
Typical High
$478.63

Where New Hampshire 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.

New Hampshire $257 · 28th 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.