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HIV Screening, Antigen/Antibody Combination Assay

Montana 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?

$30.20

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $38.90 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 6 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$30.20$23.99 to $36.31
FacilityA hospital or hospital-owned outpatient department$38.90$30.20 to $74.13

How much rates vary

Facilitymedian $39 · 10th to 90th $24 to $219Professionalmedian $30 · 10th to 90th $14 to $54
$10$100$1K$10K$100Kfacility $39professional $30

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
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$64,565.42
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$31.62
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$32.36
Typical High
$74.13
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$32.36
Typical High
$74.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.80
Typical High
$33.11

Where Montana 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.

Montana· 14th of 51

$30.20

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.