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Annual Wellness Visit, Initial

New Hampshire 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?

$204

Typical physician fee. In New Hampshire, July 2026.

Insurers have agreed to pay about $204 for this service. Most negotiated rates run $162 to $288.

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.

How much rates vary

Facilitymedian $155 · 10th to 90th $155 to $178Professionalmedian $209 · 10th to 90th $151 to $398
$100.0$200.0$500.0$1.0Kfacility $155professional $209

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
$154.88
Median
$154.88
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$158.49
Typical High
$208.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$269.15
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$467.74
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$186.21
Typical High
$208.93

Where New Hampshire sits

The same service costs 1.7 times more in Minnesota than in Texas. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Hampshire $204 · 3rd of 51
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.