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HIV Screening, Antigen/Antibody Combination Assay

Ohio 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?

$28.18

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $61.66 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 9 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$14.79$12.02 to $22.91
FacilityA hospital or hospital-owned outpatient department$61.66$32.36 to $107

How much rates vary

Facilitymedian $62 · 10th to 90th $24 to $138Professionalmedian $15 · 10th to 90th $9 to $58
$10$20$50$100$200facility $62professional $15

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
$26.92
Median
$79.43
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$20.42
Typical High
$79.43
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$16.60
Typical High
$16.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$25.12
Typical High
$44.67
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.02
Typical High
$18.62
CareSource
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$27.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$23.99
Typical High
$32.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$30.90
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$19.50
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$33.88
Typical High
$95.50
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$19.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$41.69
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$25.12
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$23.99
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.45
Typical High
$33.11

Where Ohio 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.

Ohio· 19th of 51

$28.18

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.