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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 October 2026.

How much does Annual Wellness Visit, Initial cost?

$269

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $339 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$269$204 to $417
FacilityA hospital or hospital-owned outpatient department$339$224 to $363

How much rates vary

Facilitymedian $339 · 10th to 90th $145 to $603Professionalmedian $269 · 10th to 90th $158 to $479
$200$500$1Kfacility $339professional $269

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$338.84
Typical High
$346.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$407.38
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$602.56
Cigna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$269.15
Typical High
$407.38
Medica
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$281.84
Typical High
$851.14
Medica
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$398.11
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$269.15
Typical High
$436.52
Midlands
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$416.87
Typical High
$446.68
United
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$158.49
United
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$346.74
Typical High
$436.52

Where Nebraska 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.

Nebraska· 5th of 51

$269

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.