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HIV Screening, Antigen/Antibody Combination Assay

Oregon 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?

$28.84

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $45.71 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$23.99$22.91 to $33.11
FacilityA hospital or hospital-owned outpatient department$45.71$23.99 to $85.11

How much rates vary

Facilitymedian $46 · 10th to 90th $24 to $110Professionalmedian $24 · 10th to 90th $13 to $37
$10$20$50$100facility $46professional $24

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
$44.67
Median
$100.00
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$23.99
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$63.10
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$23.99
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$52.48
Typical High
$61.66
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$28.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$27.54
Typical High
$39.81
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$47.86
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$39.81
Typical High
$47.86
Providence
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$28.84
Typical High
$81.28
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$23.99
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$72.44
Typical High
$95.50
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$24.55
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$36.31
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.80
Typical High
$33.11

Where Oregon 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.

Oregon· 17th of 51

$28.84

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.