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HIV Screening, Antigen/Antibody Combination Assay

Maine rates for HCPCS G0475

HIV antigen/antibody, combination assay, screening

Rates data updated October 2026.

How much does HIV Screening, Antigen/Antibody Combination Assay cost?

$15.49

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $15.49 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $30.20 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$14.45$12.02 to $19.50
FacilityA hospital or hospital-owned outpatient department$30.20$23.99 to $35.48

How much rates vary

Facilitymedian $30 · 10th to 90th $23 to $38Professionalmedian $14 · 10th to 90th $10 to $32
$10$20$50$100$200facility $30professional $14

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$30.20
Typical High
$35.48
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$8.91
Median
$12.02
Typical High
$14.45
Cigna
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$54.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Community Health Options
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$18.62
Typical High
$53.70
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
United
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$18.62
Typical High
$53.70

Where Maine sits

The same service costs 3.6 times more in Hawaii than in Maryland. 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· 49th of 51

$15.49

HI $54.95MD $15.14

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.