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HIV Screening, Antigen/Antibody Combination Assay

Illinois 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?

$24.55

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $48.98 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$14.79 to $23.99
FacilityA hospital or hospital-owned outpatient department$48.98$33.11 to $95.50

How much rates vary

Facilitymedian $49 · 10th to 90th $23 to $110Professionalmedian $21 · 10th to 90th $3 to $49
$5$20$100$500facility $49professional $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
$23.44
Median
$54.95
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$20.89
Typical High
$48.98
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$32.36
Typical High
$57.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$18.62
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$53.70
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$31.62
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$85.11
Typical High
$223.87
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$23.99
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$16.22
Typical High
$23.99

Where Illinois 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.

Illinois· 27th of 51

$24.55

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.