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HIV Drug-Resistance Gene Test

Missouri rates for HCPCS 87906

Reads a stretch of the genetic material of HIV from a blood sample and looks for changes that make the virus resistant to particular HIV medicines. The report tells the treating doctor which drugs are likely to still work. It is used when treatment is being started or when the virus is not being held down by the current combination.

Rates data updated October 2026.

How much does HIV Drug-Resistance Gene Test cost?

$126

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $224 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$110$87.10 to $204
FacilityA hospital or hospital-owned outpatient department$224$166 to $347

How much rates vary

Facilitymedian $224 · 10th to 90th $126 to $617Professionalmedian $110 · 10th to 90th $65 to $389
$100$200$500$1Kfacility $224professional $110

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
$109.65
Median
$165.96
Typical High
$234.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$134.90
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$588.84
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$109.65
Typical High
$239.88
BCBS Kansas City
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$173.78
Typical High
$245.47
Cigna
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$288.40
Typical High
$741.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$112.20
Typical High
$223.87
Medica
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$223.87
Typical High
$616.60
Medica
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$144.54
Typical High
$724.44
United
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$77.62
Typical High
$173.78

Where Missouri sits

The same service costs 3.8 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.

Missouri· 29th of 51

$126

AK $288GA $75.86

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.