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HIV Drug Resistance Genetic Test

Utah 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 October 2026.

How much does HIV Drug Resistance Genetic Test cost?

$282

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $295 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$245$155 to $309
FacilityA hospital or hospital-owned outpatient department$295$282 to $1,514

How much rates vary

Facilitymedian $295 · 10th to 90th $282 to $1,950Professionalmedian $245 · 10th to 90th $148 to $437
$100$200$500$1Kfacility $295professional $245

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$1,513.56
Typical High
$1,949.84
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$141.25
Median
$758.58
Typical High
$977.24
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$56.23
Median
$302.00
Typical High
$398.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$281.84
Typical High
$741.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$309.03
Typical High
$489.78
Molina
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$257.04
Typical High
$371.54
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$295.12
Typical High
$1,148.15
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$338.84
Select Health
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$380.19
Typical High
$616.60
United
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$154.88
Typical High
$158.49

Where Utah sits

The same service costs 3.7 times more in Alaska than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 23rd of 51

$282

AK $575GA $155

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.