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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 July 2026.

How much does Annual Wellness Visit, Initial cost?

$174

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $195 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$174$151 to $229
FacilityA hospital or hospital-owned outpatient department$195$148 to $302

How much rates vary

Facilitymedian $195 · 10th to 90th $148 to $302Professionalmedian $174 · 10th to 90th $132 to $309
$5.0$20.0$100.0$500.0facility $195professional $174

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
$147.91
Median
$147.91
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$309.03
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$54.95
Median
$199.53
Typical High
$309.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$154.88
Typical High
$165.96
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$131.83
Median
$131.83
Typical High
$154.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$194.98
Typical High
$281.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$223.87
CareSource
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$537.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$218.78
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$194.98
Typical High
$338.84

Where Georgia sits

The same service costs 1.7 times more in Minnesota than in Texas. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Georgia $174 · 20th of 51
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.