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HIV Screening, Antigen/Antibody Combination Assay

Indiana 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?

$23.99

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $23.99 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 6 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$14.45 to $20.42
FacilityA hospital or hospital-owned outpatient department$23.99$23.99 to $64.57

How much rates vary

Facilitymedian $24 · 10th to 90th $24 to $72Professionalmedian $20 · 10th to 90th $9 to $34
$10$20$50$100$200facility $24professional $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
$19.95
Median
$39.81
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$37.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$16.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$72.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.75
Typical High
$33.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$23.99
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$23.99
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$23.99
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$18.20
Typical High
$26.92

Where Indiana 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.

Indiana· 33rd of 51

$23.99

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.