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HIV Drug Resistance Genetic Test

South Dakota 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?

$490

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $437 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 7 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$437$200 to $617
FacilityA hospital or hospital-owned outpatient department$490$417 to $490

How much rates vary

Facilitymedian $490 · 10th to 90th $288 to $490Professionalmedian $437 · 10th to 90th $174 to $708
$100.0$200.0$500.0$1.0Kfacility $490professional $437

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
$181.97
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$199.53
Typical High
$239.88
Avera
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$489.78
Typical High
$616.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$501.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$1,819.70
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$616.60
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$229.09
Typical High
$446.68
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04

Where South Dakota 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 Dakota $490 · 2nd 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.