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HIV Screening, Antigen/Antibody Combination Assay

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $28.84 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$18.20$14.79 to $22.91
FacilityA hospital or hospital-owned outpatient department$28.84$23.99 to $61.66

How much rates vary

Facilitymedian $29 · 10th to 90th $23 to $120Professionalmedian $18 · 10th to 90th $12 to $29
$10$100$1K$10Kfacility $29professional $18

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
$22.91
Median
$58.88
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$22.91
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$46.77
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$22.91
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$28.84
Typical High
$35.48
Medcost
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$22.39
Typical High
$29.51
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$50.12
Sentara
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$33.11
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$33.11
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$23.99
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.80
Typical High
$24.55

Where Virginia 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.

Virginia· 39th 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.