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Hepatitis B Virus Strain And Resistance Test

Pennsylvania rates for HCPCS 87912

A laboratory test that reads the genetic sequence of hepatitis B virus in a blood sample to identify which strain a person carries and whether it has changes that make it resistant to antiviral medicines. Knowing this helps the doctor pick a medicine the virus will actually respond to. It is used in long-standing hepatitis B infection, particularly when the virus level is not falling on treatment.

Rates data updated July 2026.

How much does Hepatitis B Virus Strain And Resistance Test cost?

$240

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $589 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 9 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$209$204 to $245
FacilityA hospital or hospital-owned outpatient department$589$316 to $676

How much rates vary

Facilitymedian $589 · 10th to 90th $219 to $955Professionalmedian $209 · 10th to 90th $186 to $646
$100$200$500$1K$2Kfacility $589professional $209

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
$218.78
Median
$602.56
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$208.93
Typical High
$912.01
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,737.80
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$416.87
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$245.47
Typical High
$575.44
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$338.84
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$407.38
Typical High
$645.65
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$1,288.25
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$645.65
Typical High
$912.01
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$218.78
Typical High
$912.01
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$512.86
Typical High
$630.96
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$467.74

Where Pennsylvania sits

The same service costs 4.1 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.

Pennsylvania· 35th of 51

$240

AK $575VT $141

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.