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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 October 2026.

How much does HIV Drug Resistance Genetic Test cost?

$309

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $501 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$245$158 to $692
FacilityA hospital or hospital-owned outpatient department$501$214 to $776

How much rates vary

Facilitymedian $501 · 10th to 90th $200 to $776Professionalmedian $245 · 10th to 90th $129 to $1,698
$100$200$500$1Kfacility $501professional $245

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$208.93
Typical High
$218.78
CareSource
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$630.96
Typical High
$776.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$501.19
Typical High
$1,698.24
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$263.03
Typical High
$1,288.25
United
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$177.83
Typical High
$691.83

Where West Virginia 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.

West Virginia· 16th of 51

$309

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.