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Annual Wellness Visit, Initial

Florida rates for HCPCS G0438

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

Rates data updated July 2026.

How much does Annual Wellness Visit, Initial cost?

$162

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $138 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 8 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$162$138 to $195
FacilityA hospital or hospital-owned outpatient department$138$115 to $174

How much rates vary

Facilitymedian $138 · 10th to 90th $115 to $240Professionalmedian $162 · 10th to 90th $115 to $288
$50$100$200$500facility $138professional $162

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
$114.82
Median
$138.04
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$295.12
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$114.82
Median
$181.97
Typical High
$302.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$154.88
Typical High
$177.83
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$131.83
Median
$154.88
Typical High
$154.88
AvMed
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$120.23
Typical High
$131.83
AvMed
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$331.13
Typical High
$346.74
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$158.49
Typical High
$208.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$173.78
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$331.13
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$177.83

Where Florida sits

The same service costs 1.7 times more in Minnesota than in Texas. 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.

Florida· 39th of 51

$162

MN $257TX $148

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.