Lab tests
HIV test (antigen/antibody, 4th gen) cost in North Carolina
HIV test (antigen/antibody, 4th gen) is a lab test. Many labs sell tests directly to the public for a flat cash price, often far below hospital prices.
Typical cash price
In North Carolina
From 111 hospital and 1 clinic prices in North Carolina.
Nationwide typical: $76.20 (most listed prices $23.21–$215).
Usually included: the facility fee.
Cheapest in North Carolina
Total price
HIV test (antigen/antibody, 4th gen)
The facility fee
How totals are compared
Every total covers the same bundle: the facility fee. Where a hospital does not publish a part, the typical published amount is added and the total is marked estimated.
In North Carolina, from 112 providers. Most listed prices: $16.44–$179.
Cheapest totals nearby
- $14.45
- $14.45
- $14.45
- $14.45est. $14.45 total
Doctor fees are billed separately.
Source: Betsy Johnson Hospital price file · checked Oct 2026 - $14.45est. $14.45 total
Doctor fees are billed separately.
Source: Bladen County Hospital price file · checked Oct 2026 - Cape Fear Valley Medical CenterHIV-1/HIV-2 antigen and antibody test (4th generation)Facility fee only$14.45est. $14.45 total
Doctor fees are billed separately.
Source: Cape Fear Valley Medical Center price file · checked Oct 2026 - Highsmith-Rainey Specialty HospitalHIV-1/HIV-2 antigen and antibody test (4th generation)Facility fee only$14.45est. $14.45 total
Doctor fees are billed separately.
Source: Highsmith-Rainey Specialty Hospital price file · checked Oct 2026 - $14.45est. $14.45 total
Doctor fees are billed separately.
Source: Hoke Hospital price file · checked Oct 2026 - $14.82est. $14.82 total
Doctor fees are billed separately.
Source: WakeMed Cary Hospital price file · checked Oct 2026 - WakeMed Mental Health & Well Being Hospital - WakebrookHIV-1/HIV-2 antigen and antibody test (4th generation)Facility fee only$14.82est. $14.82 total
Doctor fees are billed separately. +1 more in this system at the same published price.
Source: WakeMed Mental Health & Well Being Hospital - Wake price fil · checked Oct 2026 - $15est. $15 total
New patients: $50 booking deposit credited to first visit. No-show/cancellation with less than 24 hours' notice: $50 fee; deposit forfeited.
Source: brockfamilycare.com · checked Oct 2026 - $15.75est. $15.75 total
Doctor fees are billed separately.
Source: Carteret Health Care price file · checked Oct 2026 - ECU Health Beaufort Hospital - a campus of ECU Health Medical CenterHIV-1/HIV-2 antigen and antibody test (4th generation)Facility fee only$15.90est. $15.90 total
Doctor fees are billed separately. +1 more in this system at the same published price.
Source: ECU Health Beaufort Hospital - a campus of ECU Hea price fil · checked Oct 2026 - Duke Health Lake Norman HospitalHIV-1/HIV-2 antigen and antibody test (4th generation)Facility fee only$21.33
Doctor fees are billed separately.
Source: Duke Health Lake Norman Hospital price file · checked Oct 2026 - Rutherford Regional Health SystemHIV-1/HIV-2 antigen and antibody test (4th generation)Facility fee only$24
Doctor fees are billed separately.
Source: Rutherford Regional Health System price file · checked Oct 2026
Common questions
Do I need a doctor's order?
In most states, direct-to-consumer labs can sell many tests without a separate doctor visit. Some states and some tests still require an order.
Is the blood draw included?
Usually yes for lab stores and booking sites. Hospitals sometimes bill the draw (venipuncture) separately.
Why are prices so different?
Each hospital and clinic sets its own cash price. Hospitals publish prices because federal rules require it; clinics and booking sites set prices to compete. The same service can cost several times more at one place than at another nearby.
Can I pay cash if I have insurance?
Yes. You can choose to self-pay. A cash price is often lower than what you would pay before meeting your deductible. Cash payments may not count toward your deductible, so check with your plan. Our cash vs. insurance tool can help you decide.
What is a Good Faith Estimate?
If you are uninsured or paying cash, providers must give you a Good Faith Estimate of the cost on request. If your final bill is $400 or more above the estimate, you can dispute it.