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Annual Wellness Visit, Initial

Georgia 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?

$170

Typical physician fee. In Georgia, October 2026.

Insurers have agreed to pay about $170 for this service. Most negotiated rates run $158 to $219.

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.

How much rates vary

Facilitymedian $148 · 10th to 90th $148 to $151Professionalmedian $170 · 10th to 90th $148 to $324
$200$500facility $148professional $170

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
$147.91
Median
$147.91
Typical High
$151.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$162.18
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$169.82
Typical High
$295.12
CareSource
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$194.98
Typical High
$239.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$177.83
Typical High
$588.84
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$218.78
Typical High
$380.19
United
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$213.80
Typical High
$338.84

Where Georgia 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.

Georgia· 31st of 51

$170

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.