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Annual Wellness Visit, Initial

Maine 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?

$174

Typical physician fee. In Maine, October 2026.

Insurers have agreed to pay about $174 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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $174 · 10th to 90th $141 to $309
$100$200$500professional $174

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
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$288.40
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$177.83
Typical High
$316.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$213.80
Typical High
$338.84
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$295.12
United
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$169.82
Typical High
$288.40

Where Maine 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.

Maine· 30th of 51

$174

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.