go back

Hepatitis B Screening, High-Risk Nonpregnant Individual

Iowa rates for HCPCS G0499

Hepatitis B screening in nonpregnant, high-risk individual includes hepatitis B surface antigen (HBSAG), antibodies to HBSAG (anti-HBS) and antibodies to hepatitis B core antigen (anti-HBC), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive HBSAG result

Rates data updated July 2026.

How much does Hepatitis B Screening, High-Risk Nonpregnant Individual cost?

$35.48

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $29.51 from a physician practice, and about $47.86 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$29.51$18.62 to $36.31
FacilityA hospital or hospital-owned outpatient department$47.86$28.18 to $74.13

How much rates vary

Facilitymedian $48 · 10th to 90th $28 to $81Professionalmedian $30 · 10th to 90th $17 to $71
$20$50$100$200facility $48professional $30

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
$28.18
Median
$66.07
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$33.88
Typical High
$36.31
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$48.98
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$33.88
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$25.70
Typical High
$72.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$40.74
Typical High
$40.74
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$20.89
Typical High
$69.18
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$28.18
Typical High
$28.18

Where Iowa sits

The same service costs 4.7 times more in Delaware than in Georgia. 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.

Iowa· 7th of 51

$35.48

DE $87.10GA $18.62

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.