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Hepatitis B Screening, High-Risk Nonpregnant Individual

Illinois 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?

$28.18

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $45.71 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$21.88$4.37 to $28.18
FacilityA hospital or hospital-owned outpatient department$45.71$33.88 to $57.54

How much rates vary

Facilitymedian $46 · 10th to 90th $28 to $78Professionalmedian $22 · 10th to 90th $3 to $58
$5$10$20$50$100$200facility $46professional $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
$28.18
Median
$45.71
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$28.84
Typical High
$57.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$33.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$38.02
Typical High
$57.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$19.50
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$64.57
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$37.15
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$53.70
Typical High
$131.83
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
United
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$28.18
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$18.20
Typical High
$28.18

Where Illinois 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.

Illinois· 32nd of 51

$28.18

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.