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HIV Drug Resistance Genetic Test

South Carolina 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 South Carolina, 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 $646 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$204$200 to $257
FacilityA hospital or hospital-owned outpatient department$646$447 to $1,230

How much rates vary

Facilitymedian $646 · 10th to 90th $200 to $1,514Professionalmedian $204 · 10th to 90th $182 to $363
$10.0$50.0$200.0$1.0Kfacility $646professional $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
$199.53
Median
$645.65
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$204.17
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,023.29
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$346.74
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$851.14
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$169.82
Typical High
$346.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$257.04
Typical High
$562.34
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
$177.83
Typical High
$363.08

Where South Carolina 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.

South Carolina $257 · 29th 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.