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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 October 2026.

How much does Annual Wellness Visit, Initial cost?

$240

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $240 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$240$186 to $324
FacilityA hospital or hospital-owned outpatient department$240$191 to $339

How much rates vary

Facilitymedian $240 · 10th to 90th $170 to $347Professionalmedian $240 · 10th to 90th $174 to $398
$200$500$1Kfacility $240professional $240

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$173.78
Typical High
$218.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$263.03
Typical High
$316.23
Hally Health
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$151.36
Typical High
$389.05
Medica
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$234.42
Typical High
$389.05
Medica
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$239.88
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$316.23
Midlands
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$316.23
Typical High
$436.52
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$309.03
Typical High
$389.05
United
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$302.00
United
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$194.98
Typical High
$371.54
Wellmark
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$239.88
Typical High
$239.88

Where Iowa 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.

Iowa· 9th of 51

$240

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.