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HIV Screening, Antigen/Antibody Combination Assay

Utah 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?

$22.91

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $51.29 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$22.39$18.62 to $27.54
FacilityA hospital or hospital-owned outpatient department$51.29$27.54 to $91.20

How much rates vary

Facilitymedian $51 · 10th to 90th $17 to $148Professionalmedian $22 · 10th to 90th $18 to $37
$10$20$50$100$200$500facility $51professional $22

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
$37.15
Median
$51.29
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$22.91
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$25.12
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$31.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$27.54
Typical High
$107.15
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$20.42
Typical High
$21.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Select Health
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$23.99
Typical High
$31.62
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$21.38
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.80
Typical High
$33.11

Where Utah 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.

Utah· 36th of 51

$22.91

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.