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HIV Screening, Antigen/Antibody Combination Assay

Florida 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?

$21.38

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $44.67 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$20.89$15.85 to $23.99
FacilityA hospital or hospital-owned outpatient department$44.67$21.88 to $97.72

How much rates vary

Facilitymedian $45 · 10th to 90th $16 to $120Professionalmedian $21 · 10th to 90th $16 to $37
$10$20$50$100facility $45professional $21

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
$16.22
Median
$66.07
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$20.89
Typical High
$37.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$14.45
Typical High
$16.60
AvMed
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$23.99
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$18.62
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$25.12
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$23.44
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$16.98
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$12.02
Typical High
$33.11
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02

Where Florida 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.

Florida· 42nd of 51

$21.38

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.