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HIV Screening, Antigen/Antibody Combination Assay

Maryland 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?

$18.20

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $17.78 from a physician practice, and about $28.84 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 5 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$17.78$15.85 to $19.95
FacilityA hospital or hospital-owned outpatient department$28.84$17.78 to $79.43

How much rates vary

Facilitymedian $29 · 10th to 90th $15 to $240Professionalmedian $18 · 10th to 90th $13 to $23
$10$20$50$100$200facility $29professional $18

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
$17.78
Median
$47.86
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$18.20
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$16.98
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$21.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$27.54
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$11.48
Typical High
$18.20
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.80
Typical High
$22.91
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02

Where Maryland 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.

Maryland· 50th of 51

$18.20

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.