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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 July 2026.

How much does HIV Screening, Antigen/Antibody Combination Assay cost?

$37.15

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $37.15 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $93.33 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 7 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$37.15$19.05 to $37.15
FacilityA hospital or hospital-owned outpatient department$93.33$37.15 to $234

How much rates vary

Facilitymedian $93 · 10th to 90th $30 to $2,138Professionalmedian $37 · 10th to 90th $16 to $37
$10$100$1K$10Kfacility $93professional $37

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
$30.90
Median
$97.72
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$37.15
Typical High
$37.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$16.60
Typical High
$16.60
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$75.86
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$53.70
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$31.62
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$11.22
Typical High
$14.13
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$16.98
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$23.99
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.45
Typical High
$33.11

Where New Jersey 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.

New Jersey· 7th of 51

$37.15

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.