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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 October 2026.

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

$25.12

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $29.51 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$18.20$13.80 to $33.11
FacilityA hospital or hospital-owned outpatient department$29.51$27.54 to $48.98

How much rates vary

Facilitymedian $30 · 10th to 90th $25 to $74Professionalmedian $18 · 10th to 90th $13 to $37
$10$20$50$100facility $30professional $18

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$37.15
Typical High
$37.15
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$29.51
Typical High
$66.07
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$18.20
Typical High
$18.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$77.62
Typical High
$138.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$31.62
United
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
United
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$19.95
Typical High
$39.81

Where Rhode Island 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.

Rhode Island· 15th of 51

$25.12

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.