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HIV Drug Resistance Genetic Test

Pennsylvania 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?

$355

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $661 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 11 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$209$204 to $245
FacilityA hospital or hospital-owned outpatient department$661$339 to $977

How much rates vary

Facilitymedian $661 · 10th to 90th $219 to $1,514Professionalmedian $209 · 10th to 90th $191 to $646
$100.0$500.0$2.0K$10.0K$50.0Kfacility $661professional $209

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
$218.78
Median
$645.65
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$208.93
Typical High
$912.01
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$1,174.90
Typical High
$2,137.96
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,862.09
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$416.87
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$245.47
Typical High
$575.44
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$338.84
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$660.69
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$776.25
Typical High
$2,089.30
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$1,000.00
Typical High
$1,621.81
Independence Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$645.65
Typical High
$1,412.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$218.78
Typical High
$912.01
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$912.01
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$467.74

Where Pennsylvania 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.

Pennsylvania $355 · 9th 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.