go back

Annual Wellness Visit, Initial

Nevada 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?

$170

Typical physician fee. In Nevada, July 2026.

Insurers have agreed to pay about $170 for this service. Most negotiated rates run $138 to $200.

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 $148 to $174Professionalmedian $170 · 10th to 90th $115 to $295
$100$200$500facility $155professional $170

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. 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
Global
Typical Low
$169.82
Median
$169.82
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$295.12
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$114.82
Median
$177.83
Typical High
$263.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$190.55
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$165.96
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$1.20
Median
$173.78
Typical High
$263.03
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$154.88
Typical High
$173.78
Select Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$162.18
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$190.55
Typical High
$309.03

Where Nevada 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.

Nevada· 26th of 51

$170

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.