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HIV Drug Resistance Genetic Test

New Jersey 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 October 2026.

How much does HIV Drug Resistance Genetic Test cost?

$200

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $724 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$182$182 to $209
FacilityA hospital or hospital-owned outpatient department$724$324 to $1,380

How much rates vary

Facilitymedian $724 · 10th to 90th $229 to $2,570Professionalmedian $182 · 10th to 90th $148 to $339
$100$200$500$1K$2Kfacility $724professional $182

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$229.09
Typical High
$426.58
Aetna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$199.53
Typical High
$229.09
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$95.50
Median
$100.00
Typical High
$114.82
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$38.02
Median
$39.81
Typical High
$45.71
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$1,548.82
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$724.44
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$323.59
Typical High
$724.44
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$338.84
Typical High
$371.54
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$257.04
Typical High
$257.04
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
United
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
United
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$154.88
Typical High
$275.42

Where New Jersey sits

The same service costs 3.7 times more in Alaska than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 44th of 51

$200

AK $575GA $155

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.