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HIV Screening, Antigen/Antibody Combination Assay

Connecticut 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 Connecticut, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $41.69 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$21.88$21.88 to $25.70
FacilityA hospital or hospital-owned outpatient department$41.69$30.20 to $50.12

How much rates vary

Facilitymedian $42 · 10th to 90th $24 to $68Professionalmedian $22 · 10th to 90th $14 to $37
$10$20$50$100facility $42professional $22

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
$23.99
Median
$41.69
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$37.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$40.74
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.45
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$38.02
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$31.62
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$14.13
Health New England
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$38.90
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$19.95
Typical High
$42.66

Where Connecticut 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.

Connecticut· 29th 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.