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HIV Screening, Antigen/Antibody Combination Assay

North Carolina 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?

$19.05

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $37.15 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 8 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$19.05$19.05 to $21.38
FacilityA hospital or hospital-owned outpatient department$37.15$19.05 to $81.28

How much rates vary

Facilitymedian $37 · 10th to 90th $19 to $105Professionalmedian $19 · 10th to 90th $16 to $33
$10.0$20.0$50.0$100.0facility $37professional $19

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
$19.05
Median
$75.86
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$37.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$16.60
Typical High
$16.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$50.12
Typical High
$81.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$21.88
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$51.29
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$21.38
Typical High
$31.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$19.05
Typical High
$28.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.95
Typical High
$33.11
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$31.62
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.22
Typical High
$33.11
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82

Where North Carolina sits

The same service costs 5.4 times more in West Virginia than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $19.05 · 48th of 51
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.