go back

Annual Wellness Visit, Initial

Colorado rates for HCPCS G0438

Annual wellness visit; includes a personalized prevention plan of service (PPS), initial visit

Rates data updated October 2026.

How much does Annual Wellness Visit, Initial cost?

$204

Typical negotiated rate. In Colorado, October 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $240 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$204$178 to $257
FacilityA hospital or hospital-owned outpatient department$240$186 to $282

How much rates vary

Facilitymedian $240 · 10th to 90th $178 to $331Professionalmedian $204 · 10th to 90th $141 to $324
$100$200$500facility $240professional $204

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$239.88
Typical High
$288.40
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$186.21
Typical High
$194.98
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$234.42
Typical High
$338.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$154.88
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$223.87
Typical High
$302.00
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$239.88
Typical High
$354.81
Select Health
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$331.13
Typical High
$380.19
Select Health
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$177.83
Typical High
$281.84
United
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$208.93
Typical High
$295.12

Where Colorado sits

The same service costs 2.6 times more in North Dakota than in New York. 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.

Colorado· 18th of 51

$204

ND $295NY $115

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.