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HIV Drug Resistance Genetic Test

West Virginia 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?

$209

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $224 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$191 to $219
FacilityA hospital or hospital-owned outpatient department$224$224 to $324

How much rates vary

Facilitymedian $224 · 10th to 90th $209 to $389Professionalmedian $204 · 10th to 90th $174 to $245
$100.0$200.0$500.0$1.0Kfacility $224professional $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
$208.93
Median
$223.87
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$245.47
CareSource
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
CareSource
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$660.69
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$1,698.24
Typical High
$1,698.24
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$154.88
Typical High
$363.08

Where West Virginia 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.

West Virginia $209 · 44th 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.