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HIV Screening, Antigen/Antibody Combination Assay

Florida rates for HCPCS G0475

HIV antigen/antibody, combination assay, screening

Rates data updated October 2026.

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

$16.98

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $44.67 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$14.45$12.02 to $20.89
FacilityA hospital or hospital-owned outpatient department$44.67$39.81 to $44.67

How much rates vary

Facilitymedian $45 · 10th to 90th $17 to $45Professionalmedian $14 · 10th to 90th $10 to $33
$10$20$50$100facility $45professional $14

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$22.39
Typical High
$173.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$20.89
Typical High
$37.15
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$7.94
Median
$10.47
Typical High
$18.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.16
Median
$4.17
Typical High
$7.41
Ambetter
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$14.45
Typical High
$23.99
AvMed
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$23.99
Typical High
$23.99
Cigna
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$20.89
Typical High
$97.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$25.12
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Florida Blue
Setting
Facility
Modifier
QW · Waived lab test
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$15.85
Typical High
$37.15
Florida Blue
Setting
Professional
Modifier
QW · Waived lab test
Typical Low
$14.45
Median
$14.45
Typical High
$23.99
Molina
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$16.60
Typical High
$16.98
United
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
United
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$11.48
Typical High
$33.11
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$12.02
Typical High
$12.02

Where Florida sits

The same service costs 3.6 times more in Hawaii than in Maryland. 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.

Florida· 45th of 51

$16.98

HI $54.95MD $15.14

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.