Before you begin PrEP you’re required to get lab tests to confirm that you are HIV negative and have healthy kidneys. You’ll re-do these tests every three months after beginning PrEP. Our preferred testing option is at-home tests through our home testing partner, Molecular Testing Labs (MTL). We’ll send you everything you need to collect samples at home, then you’ll return them by mail to the lab in a prepaid envelope (though please note that home testing is not yet available in New York state). We have worked hard to provide ease and cost transparency with our home testing option. If you would like to order PrEP, start your order here.
For those paying without insurance:
$199 for comprehensive testing, which includes all of the necessary tests to get on PrEP + extra testing for sexually transmitted infections (STIs).
$129 for basic testing which includes all of the testing necessary to get on PrEP.
For those paying with insurance:
We accept insurance for lab testing as well – but if you choose to pay with insurance your out-of-pocket expense will depend on whether Molecular Testing Labs is in-network with your insurance and on your specific plan’s coverage. We will charge you $35 to cover the cost of the PrEP lab test kit and shipping. We’ll also charge a $15 medical consultation fee. Once your tests have been processed by our partner lab, they will bill your insurance and you will receive a bill for any out-of-pocket costs (in addition to the above fees) including copays and deductibles associated with your plan. Please CLICK HERE to see if your insurance is in-network. It is important to note that if your insurance is in-network with Molecular Testing Labs and you have not yet met your deductible, you may be billed for the full price of lab testing at the rate negotiated between MTL and your insurance carrier, which is usually around $250-$300. If your deductible has been met then only standard copays will apply. Molecular Testing Labs has a generous financial aid package for qualifying patients.
*BLUECROSS OF CALIFORNIA OR COVERED CALIFORNIA PATIENTS PLEASE NOTE: Though these plans are in-network with the Molecular Testing Labs, we’ve found that some of our patients have had these plans deny the testing and leave the bill to the patient. We encourage you to contact your insurance to ask if Molecular Testing Labs is an acceptable lab with your insurance plan, and that they will have no issues with the lab testing being processed in Oregon which is where the lab is located.
If your insurance is out-of-network with Molecular Testings Labs we have a negotiated rate of $99 for lab testing, which will be billed to you directly by MTL. Please see more information about out-of-network plans CLICK HERE.
If you’d prefer not to do home testing you are welcome to have your labs done at a local lab like LabCorp or Quest. Once you have submitted your request for PrEP, simply message us and tell us that you would like lab testing at LabCorp or Quest. Pricing at local labs depends on your insurance coverage. We recommend calling your insurance company in advance to confirm whether LabCorp or Quest is the in-network laboratory.
If you have any questions about insurance coverage for laboratory testing, please call your insurance company and ask them the following questions:
- Is Molecular Testing Labs in-network?
- Do I have a deductible for lab testing?
- Do I have a copay or co-insurance associated with my insurance plan?
- If they ask which lab tests will be ordered please refer to the information below to see what is included in the test kit in addition the CPT and Diagnosis Codes used.
PrEP Comprehensive Kit:
Chlamydia (Site: Genital)
Chlamydia (Site: Throat)
Chlamydia (Site: Rectal)
Gonorrhea (Site: Genital)
Gonorrhea (Site: Throat)
Gonorrhea (Site: Rectal)
PrEP Basic Kit: