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Annual Wellness Visit, Initial

Oregon rates for HCPCS G0438

Annual wellness visit; includes a personalized prevention plan of service (PPS), initial visit

Rates data updated July 2026.

Facilitymedian $275 · 10th–90th $166$3390%20%10th90th$275Professionalmedian $195 · 10th–90th $132$4470%10%10th90th$195$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$389.05
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$478.63
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$114.82
Median
$245.47
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$363.08
Typical High
$436.52
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$346.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$323.59
Typical High
$436.52
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$323.59
Typical High
$331.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$346.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$194.98
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$851.14
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$346.74
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$302.00
Typical High
$446.68