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Annual Wellness Visit, Initial

Missouri 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 negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $195 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 7 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$174$145 to $229
FacilityA hospital or hospital-owned outpatient department$195$162 to $257

How much rates vary

Facilitymedian $195 · 10th to 90th $151 to $380Professionalmedian $174 · 10th to 90th $132 to $295
$100$200$500$1Kfacility $195professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$234.42
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$295.12
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$181.97
Median
$257.04
Typical High
$426.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$131.83
Median
$131.83
Typical High
$154.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$154.88
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$208.93
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$144.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$380.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$199.53
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$181.97
Typical High
$288.40

Where Missouri 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.

Missouri· 22nd 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.