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HIV Screening, Antigen/Antibody Combination Assay

Montana 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?

$32.36

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $32.36 for this service. Most negotiated rates run $21.88 to $40.74.

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.

How much rates vary

Facilitymedian $41 · 10th to 90th $24 to $47Professionalmedian $24 · 10th to 90th $10 to $44
$10$20$50$100facility $41professional $24

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
$27.54
Median
$27.54
Typical High
$27.54
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$83.18
Typical High
$181.97
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Cigna
Setting
Facility
Modifier
QW · Waived lab test
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$31.62
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$40.74
Typical High
$44.67
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$36.31
Typical High
$43.65
Providence
Setting
Facility
Modifier
QW · Waived lab test
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Providence
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$21.88
Typical High
$23.99
United
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$23.99

Where Montana 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.

Montana· 8th of 51

$32.36

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.