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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 October 2026.

How much does Annual Wellness Visit, Initial cost?

$219

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $324 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$219$141 to $282
FacilityA hospital or hospital-owned outpatient department$324$275 to $331

How much rates vary

Facilitymedian $324 · 10th to 90th $195 to $447Professionalmedian $219 · 10th to 90th $141 to $363
$100$200$500facility $324professional $219

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$389.05
Typical High
$436.52
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$218.78
Typical High
$218.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$371.54
Typical High
$478.63
Moda Health
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$346.74
Typical High
$436.52
Moda Health
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$218.78
Typical High
$398.11
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$323.59
Typical High
$331.13
Providence
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$338.84
Typical High
$457.09
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$141.25
Typical High
$316.23
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$446.68
Typical High
$676.08
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$281.84
Typical High
$316.23
United
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$281.84
United
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$302.00
Typical High
$478.63

Where Oregon 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.

Oregon· 13th of 51

$219

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.