go back

HIV Screening, Antigen/Antibody Combination Assay

Tennessee 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?

$19.05

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $30.20 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$18.20 to $19.95
FacilityA hospital or hospital-owned outpatient department$30.20$19.05 to $85.11

How much rates vary

Facilitymedian $30 · 10th to 90th $17 to $100Professionalmedian $19 · 10th to 90th $18 to $28
$5.0$10.0$20.0$50.0$100.0$200.0facility $30professional $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
$18.20
Median
$35.48
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$22.91
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.11
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$48.98
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$26.92
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$23.99
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$16.98
Typical High
$33.11

Where Tennessee sits

The same service costs 5.4 times more in West Virginia than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Tennessee $19.05 · 49th of 51
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.