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Extra Drug Tested For Viral Resistance

Vermont rates for HCPCS 87904

Laboratory testing that grows the virus from a patient's blood sample in the presence of an antiviral medicine to see whether it still multiplies, which shows directly whether that medicine will still work against it. This covers each further medicine tested beyond the first group and is billed in addition to the main procedure. It is used in HIV care to build a treatment combination the virus has not become resistant to.

Rates data updated July 2026.

How much does Extra Drug Tested For Viral Resistance cost?

$45.71

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $204 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$45.71$25.12 to $45.71
FacilityA hospital or hospital-owned outpatient department$204$43.65 to $447

How much rates vary

Facilitymedian $204 · 10th to 90th $26 to $468Professionalmedian $46 · 10th to 90th $25 to $46
$20$50$100$200$500facility $204professional $46

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
$25.12
Median
$45.71
Typical High
$45.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$38.90
Typical High
$64.57
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$36.31
Typical High
$70.79

Where Vermont sits

The same service costs 3.0 times more in Alaska than in Washington, DC. 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.

Vermont· 3rd of 51

$45.71

AK $58.88DC $19.50

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.