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HIV Screening, Antigen/Antibody Combination Assay

New Mexico 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?

$19.50

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $166 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$14.45$13.80 to $22.39
FacilityA hospital or hospital-owned outpatient department$166$53.70 to $219

How much rates vary

Facilitymedian $166 · 10th to 90th $22 to $288Professionalmedian $14 · 10th to 90th $10 to $33
$10$20$50$100$200facility $166professional $14

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
$18.20
Median
$77.62
Typical High
$79.43
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$22.39
Typical High
$28.84
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$186.21
Typical High
$302.00
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$19.50
Typical High
$22.39
Cigna
Setting
Facility
Modifier
None
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$31.62
Molina
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Providence
Setting
Facility
Modifier
None
Typical Low
$15.49
Median
$28.84
Typical High
$37.15
Providence
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
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
$13.80
Typical High
$14.45

Where New Mexico 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 Mexico· 40th of 51

$19.50

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.