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HIV Drug Resistance Genetic Test

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $490 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 8 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$204$162 to $257
FacilityA hospital or hospital-owned outpatient department$490$269 to $692

How much rates vary

Facilitymedian $490 · 10th to 90th $234 to $776Professionalmedian $204 · 10th to 90th $126 to $562
$50.0$100.0$200.0$500.0$1.0Kfacility $490professional $204

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
$245.47
Median
$562.34
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$208.93
Typical High
$616.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$269.15
Typical High
$478.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$162.18
Typical High
$346.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
CareSource
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$338.84
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$223.87
Typical High
$616.60
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$363.08
Typical High
$1,445.44
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$208.93
Typical High
$512.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$281.84
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$257.04
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$371.54

Where Ohio 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.

Ohio $257 · 35th 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.