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HIV Drug Resistance Genetic Test

New Mexico 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?

$316

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $832 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$240$195 to $363
FacilityA hospital or hospital-owned outpatient department$832$447 to $1,660

How much rates vary

Facilitymedian $832 · 10th to 90th $282 to $2,570Professionalmedian $240 · 10th to 90th $151 to $1,698
$100.0$500.0$2.0K$10.0K$50.0Kfacility $832professional $240

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
$389.05
Median
$831.76
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,659.59
Typical High
$2,754.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$208.93
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$398.11
Typical High
$562.34
Providence
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$398.11
Typical High
$676.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$371.54
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$281.84

Where New Mexico 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 Mexico $316 · 15th 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.