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HIV Screening, Antigen/Antibody Combination Assay

Iowa 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?

$28.84

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $45.71 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$19.95$16.22 to $33.11
FacilityA hospital or hospital-owned outpatient department$45.71$28.84 to $66.07

How much rates vary

Facilitymedian $46 · 10th to 90th $24 to $81Professionalmedian $20 · 10th to 90th $14 to $46
$20$50$100$200facility $46professional $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
$23.99
Median
$57.54
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$18.62
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$28.84
Typical High
$31.62
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$41.69
Typical High
$208.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$28.84
Typical High
$67.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$21.88
Typical High
$60.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$14.45
Typical High
$54.95
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$23.99
Typical High
$23.99

Where Iowa 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.

Iowa· 18th of 51

$28.84

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.