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HIV Screening, Antigen/Antibody Combination Assay

West 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?

$97.72

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $102 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 5 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$19.05$18.20 to $22.91
FacilityA hospital or hospital-owned outpatient department$102$72.44 to $123

How much rates vary

Facilitymedian $102 · 10th to 90th $52 to $151Professionalmedian $19 · 10th to 90th $14 to $78
$10$20$50$100$200facility $102professional $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
$52.48
Median
$107.15
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$19.95
Typical High
$77.62
CareSource
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
CareSource
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$28.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$51.29
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$114.82
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$100.00
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.80
Typical High
$33.11

Where West 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.

West Virginia· 1st of 51

$97.72

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.