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Annual Wellness Visit, Initial

Maryland 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 physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $174 for this service. Most negotiated rates run $148 to $209.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $135 · 10th to 90th $107 to $275Professionalmedian $174 · 10th to 90th $129 to $331
$100$200$500facility $135professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$346.74
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$114.82
Median
$257.04
Typical High
$758.58
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$194.98
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$134.90
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$316.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$234.42
Typical High
$263.03

Where Maryland 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.

Maryland· 21st of 51

$174

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.