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HIV Drug Resistance Genetic Test

Tennessee 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?

$229

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $692 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 6 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$195 to $257
FacilityA hospital or hospital-owned outpatient department$692$257 to $912

How much rates vary

Facilitymedian $692 · 10th to 90th $195 to $1,096Professionalmedian $204 · 10th to 90th $151 to $389
$10.0$50.0$200.0$1.0K$5.0Kfacility $692professional $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
$707.95
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$204.17
Typical High
$380.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$158.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$245.47
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$616.60
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$173.78
Typical High
$467.74
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,949.84
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$257.04
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$380.19

Where Tennessee 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.

Tennessee $229 · 40th 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.