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HIV Screening, Antigen/Antibody Combination Assay

South Dakota 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?

$25.12

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $69.18 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 7 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$25.12$18.62 to $47.86
FacilityA hospital or hospital-owned outpatient department$69.18$27.54 to $135

How much rates vary

Facilitymedian $69 · 10th to 90th $23 to $214Professionalmedian $25 · 10th to 90th $16 to $66
$10$20$50$100$200facility $69professional $25

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
$27.54
Median
$134.90
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$22.39
Typical High
$69.18
Avera
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$24.55
Typical High
$36.31
Avera
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$24.55
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$31.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$44.67
Typical High
$125.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$15.49
Typical High
$33.11
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$56.23
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$16.98
Typical High
$33.11
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99

Where South Dakota 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 Dakota· 24th of 51

$25.12

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.