go back

Annual Wellness Visit, Initial

Minnesota 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?

$257

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $347 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 6 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$257$162 to $417
FacilityA hospital or hospital-owned outpatient department$347$182 to $550

How much rates vary

Facilitymedian $347 · 10th to 90th $162 to $1,000Professionalmedian $257 · 10th to 90th $135 to $589
$100$200$500$1K$2Kfacility $347professional $257

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
$165.96
Median
$380.19
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$331.13
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$114.82
Median
$158.49
Typical High
$263.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$302.00
Typical High
$2,398.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$416.87
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$549.54
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$190.55
Typical High
$234.42
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$660.69
Typical High
$1,288.25
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$194.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$218.78
Typical High
$457.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$288.40
Typical High
$630.96
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$323.59
Typical High
$478.63

Where Minnesota 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.

Minnesota· 1st of 51

$257

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.