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HIV Screening, Antigen/Antibody Combination Assay

Colorado rates for HCPCS G0475

HIV antigen/antibody, combination assay, screening

Rates data updated July 2026.

How much does HIV Screening, Antigen/Antibody Combination Assay cost?

$23.99

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $69.18 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 7 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$18.62$17.78 to $22.39
FacilityA hospital or hospital-owned outpatient department$69.18$34.67 to $110

How much rates vary

Facilitymedian $69 · 10th to 90th $22 to $123Professionalmedian $19 · 10th to 90th $10 to $23
$10$20$50$100facility $69professional $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
$21.38
Median
$85.11
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.62
Typical High
$22.91
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$72.44
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.02
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$16.98
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$16.60
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$23.44
Typical High
$42.66
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$251.19
Typical High
$251.19
Select Health
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$44.67
Typical High
$50.12
Select Health
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$23.99
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.80
Typical High
$22.39

Where Colorado sits

The same service costs 5.4 times more in West Virginia than in Washington, DC. 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.

Colorado· 34th of 51

$23.99

WV $97.72DC $18.20

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.