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HIV Screening, Antigen/Antibody Combination Assay

Rhode Island 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?

$33.11

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $33.11 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $33.11 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 4 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$31.62$18.20 to $37.15
FacilityA hospital or hospital-owned outpatient department$33.11$28.84 to $74.13

How much rates vary

Facilitymedian $33 · 10th to 90th $26 to $138Professionalmedian $32 · 10th to 90th $14 to $37
$20$50$100facility $33professional $32

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$37.15
Typical High
$37.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$29.51
Typical High
$48.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$18.20
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$77.62
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$21.38
Typical High
$31.62
United
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$19.95
Typical High
$47.86

Where Rhode Island 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.

Rhode Island· 12th of 51

$33.11

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.