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Annual Wellness Visit, Initial

Nebraska 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?

$155

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $263 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$155$135 to $195
FacilityA hospital or hospital-owned outpatient department$263$195 to $339

How much rates vary

Facilitymedian $263 · 10th to 90th $155 to $347Professionalmedian $155 · 10th to 90th $129 to $389
$50$100$200$500$1Kfacility $263professional $155

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
$338.84
Median
$338.84
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$371.54
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$154.88
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$204.17
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$234.42
Typical High
$363.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$281.84
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$407.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$281.84
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$0.17
Median
$0.17
Typical High
$0.17
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$263.03
Typical High
$426.58

Where Nebraska 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.

Nebraska· 47th of 51

$155

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.