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HIV Screening, Antigen/Antibody Combination Assay

Idaho 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?

$27.54

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $50.12 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$23.99$22.39 to $36.31
FacilityA hospital or hospital-owned outpatient department$50.12$23.99 to $100

How much rates vary

Facilitymedian $50 · 10th to 90th $24 to $112Professionalmedian $24 · 10th to 90th $17 to $47
$10$20$50$100facility $50professional $24

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
$100.00
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$23.99
Typical High
$46.77
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$42.66
Typical High
$87.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$23.99
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$50.12
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$25.12
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$31.62
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$28.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$47.86
Typical High
$87.10
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$20.42
Typical High
$25.12
Select Health
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$31.62
Select Health
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.80
Typical High
$33.11

Where Idaho 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.

Idaho· 22nd of 51

$27.54

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.