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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.

Facilitymedian $39 · 10th–90th $24$2190%10%20%10th90th$39Professionalmedian $30 · 10th–90th $14$540%20%40%10th90th$30$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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