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HIV Screening, Antigen/Antibody Combination Assay

New Jersey 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?

$23.99

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $148 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$20.42$15.49 to $25.12
FacilityA hospital or hospital-owned outpatient department$148$53.70 to $13,490

How much rates vary

Facilitymedian $148 · 10th to 90th $30 to $20,893Professionalmedian $20 · 10th to 90th $13 to $37
$10$100$1K$10Kfacility $148professional $20

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
$37.15
Median
$37.15
Typical High
$37.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$37.15
Typical High
$37.15
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$10.23
Median
$18.62
Typical High
$18.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.07
Median
$7.41
Typical High
$7.41
Ambetter
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$14.45
Typical High
$16.60
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$123.03
Typical High
$616.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$53.70
Typical High
$114.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$27.54
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$12.02
Typical High
$14.13
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$4,365.16
Median
$15,848.93
Typical High
$27,542.29
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$20.42
Typical High
$23.99
United
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
United
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$14.45
Typical High
$19.95

Where New Jersey 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.

New Jersey· 24th of 51

$23.99

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.