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Annual Wellness Visit, Initial

Iowa 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?

$195

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $214 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$195$155 to $288
FacilityA hospital or hospital-owned outpatient department$214$170 to $339

How much rates vary

Facilitymedian $214 · 10th to 90th $155 to $380Professionalmedian $195 · 10th to 90th $135 to $447
$50.0$100.0$200.0$500.0$1.0Kfacility $214professional $195

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
$338.84
Median
$346.74
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$177.83
Typical High
$524.81
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$158.49
Median
$257.04
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$186.21
Typical High
$346.74
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$239.88
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$331.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$229.09
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$269.15
Typical High
$407.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$446.68
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$302.00
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$223.87
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$229.09
Typical High
$407.38
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$239.88

Where Iowa 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.

Iowa $195 · 6th 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.