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Hepatitis B Screening, High-Risk Nonpregnant Individual

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $66.07 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 9 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$28.18$23.99 to $29.51
FacilityA hospital or hospital-owned outpatient department$66.07$40.74 to $85.11

How much rates vary

Facilitymedian $66 · 10th to 90th $25 to $100Professionalmedian $28 · 10th to 90th $21 to $58
$20$100$500$2Kfacility $66professional $28

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
$24.55
Median
$48.98
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$24.55
Typical High
$28.18
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$79.43
Typical High
$134.90
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$28.18
Typical High
$69.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$69.18
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$22.39
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$20.42
Typical High
$38.90
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$47.86
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$28.18
Typical High
$60.26
Health New England
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$79.43
Typical High
$134.90
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$28.18
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$28.18
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$25.70
Typical High
$72.44

Where Massachusetts 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.

Massachusetts· 35th 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.