go back

HIV Screening, Antigen/Antibody Combination Assay

Michigan 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?

$22.91

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $25.12 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$22.91$18.20 to $23.99
FacilityA hospital or hospital-owned outpatient department$25.12$22.91 to $33.11

How much rates vary

Facilitymedian $25 · 10th to 90th $19 to $52Professionalmedian $23 · 10th to 90th $15 to $29
$10$20$50$100facility $25professional $23

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
Facility
Modifier
None
Typical Low
$22.91
Median
$22.91
Typical High
$35.48
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$11.48
Median
$11.48
Typical High
$17.78
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$4.57
Median
$4.57
Typical High
$7.08
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$22.91
Typical High
$24.55
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$10.23
Median
$11.48
Typical High
$12.02
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.07
Median
$4.57
Typical High
$4.90
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$25.70
Typical High
$44.67
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$21.38
Typical High
$31.62
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$22.39
Median
$26.30
Typical High
$69.18
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$11.48
Median
$11.48
Typical High
$17.78
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$4.57
Median
$4.57
Typical High
$7.08
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$23.99
Typical High
$30.90
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.57
Median
$4.57
Typical High
$4.57
Health Alliance Plan
Setting
Professional
Modifier
QW · Waived lab test
Typical Low
$23.99
Median
$25.70
Typical High
$33.11
Priority Health
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$21.38
Typical High
$26.92
United
Setting
Facility
Modifier
None
Typical Low
$14.45
Median
$21.88
Typical High
$28.84
United
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$15.14
Typical High
$31.62

Where Michigan 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.

Michigan· 26th of 51

$22.91

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.