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HIV Screening, Antigen/Antibody Combination Assay

South Carolina 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?

$20.89

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $70.79 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 6 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$18.62$18.62 to $19.05
FacilityA hospital or hospital-owned outpatient department$70.79$50.12 to $87.10

How much rates vary

Facilitymedian $71 · 10th to 90th $19 to $91Professionalmedian $19 · 10th to 90th $19 to $25
$10$20$50$100facility $71professional $19

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
$18.62
Median
$70.79
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$19.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$28.18
Typical High
$50.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$75.86
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$25.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$21.88
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$23.99
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$16.60
Typical High
$33.11

Where South Carolina 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.

South Carolina· 43rd of 51

$20.89

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.