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HIV Drug Resistance Genetic Test

Vermont 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?

$145

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $1,096 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$145$77.62 to $145
FacilityA hospital or hospital-owned outpatient department$1,096$631 to $1,230

How much rates vary

Facilitymedian $1,096 · 10th to 90th $257 to $1,413Professionalmedian $145 · 10th to 90th $78 to $347
$100.0$200.0$500.0$1.0Kfacility $1,096professional $145

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$144.54
Typical High
$144.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,096.48
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$380.19
Typical High
$645.65
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$295.12
Typical High
$691.83

Where Vermont 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.

Vermont $145 · 51st 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.