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HIV Drug-Resistance Gene Test

New Hampshire 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 July 2026.

How much does HIV Drug-Resistance Gene Test cost?

$129

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $372 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$129$83.18 to $129
FacilityA hospital or hospital-owned outpatient department$372$245 to $562

How much rates vary

Facilitymedian $372 · 10th to 90th $182 to $741Professionalmedian $129 · 10th to 90th $47 to $240
$50$100$200$500$1Kfacility $372professional $129

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
$181.97
Median
$323.59
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$46.77
Typical High
$100.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$251.19
Typical High
$741.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$489.78
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$134.90
Typical High
$371.54
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$120.23
Typical High
$239.88

Where New Hampshire sits

The same service costs 4.0 times more in Alaska than in Vermont. 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.

New Hampshire· 30th of 51

$129

AK $288VT $72.44

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.