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HIV Screening, Antigen/Antibody Combination Assay

Delaware 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?

$19.95

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $27.54 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 4 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$19.95$19.05 to $19.95
FacilityA hospital or hospital-owned outpatient department$27.54$27.54 to $224

How much rates vary

Facilitymedian $28 · 10th to 90th $25 to $229Professionalmedian $20 · 10th to 90th $19 to $20
$20$50$100$200facility $28professional $20

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
$25.12
Median
$27.54
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.95
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$31.62
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$19.95
Typical High
$33.11

Where Delaware 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.

Delaware· 46th of 51

$19.95

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.