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HIV Screening, Antigen/Antibody Combination Assay

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $19.50 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$19.50$15.49 to $27.54
FacilityA hospital or hospital-owned outpatient department$48.98$23.99 to $60.26

How much rates vary

Facilitymedian $49 · 10th to 90th $24 to $62Professionalmedian $19 · 10th to 90th $12 to $32
$10$20$50$100facility $49professional $19

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
$48.98
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$19.50
Typical High
$23.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$28.18
Typical High
$83.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$12.02
Typical High
$15.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$31.62
Community Health Options
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$27.54
Typical High
$31.62
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$89.13
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$19.50
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$25.12
Typical High
$45.71

Where Maine 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.

Maine· 31st 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.