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Hepatitis C Antibody Screening

New Jersey rates for HCPCS G0472

Hepatitis C antibody screening for individual at high risk and other covered indication(s)

Rates data updated July 2026.

How much does Hepatitis C Antibody Screening cost?

$39.81

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $19.50 from a physician practice, and about $64.57 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 6 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$19.50$19.50 to $36.31
FacilityA hospital or hospital-owned outpatient department$64.57$48.98 to $191

How much rates vary

Facilitymedian $65 · 10th to 90th $32 to $398Professionalmedian $19 · 10th to 90th $10 to $49
$10.0$100.0$1.0K$10.0Kfacility $65professional $19

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
$32.36
Median
$60.26
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$19.50
Typical High
$48.98
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$28.84
Typical High
$28.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$102.33
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$60.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$21.88
Typical High
$27.54
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$30.20
Typical High
$40.74
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$46.77
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$23.44
Typical High
$30.20

Where New Jersey sits

The same service costs 3.9 times more in South Carolina than in California. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $39.81 · 32nd of 51
SC $97.72CA $25.12

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.