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HIV Screening, Antigen/Antibody Combination Assay

Massachusetts 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?

$36.31

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $57.54 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 9 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$21.88 to $37.15
FacilityA hospital or hospital-owned outpatient department$57.54$37.15 to $72.44

How much rates vary

Facilitymedian $58 · 10th to 90th $24 to $85Professionalmedian $24 · 10th to 90th $19 to $48
$20$50$100$200$500$1K$2Kfacility $58professional $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
$33.11
Median
$54.95
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$37.15
Typical High
$37.15
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$67.61
Typical High
$114.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$23.99
Typical High
$58.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$19.50
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$21.38
Typical High
$33.11
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$33.88
Typical High
$5,888.44
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$31.62
Typical High
$40.74
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$23.99
Typical High
$51.29
Health New England
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$30.20
Typical High
$70.79
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$67.61
Typical High
$114.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$23.99
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$23.99
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$21.88
Typical High
$61.66

Where Massachusetts 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.

Massachusetts· 10th of 51

$36.31

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.