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Annual Wellness Visit, Initial

Rhode Island 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?

$174

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $174 for this service. Most negotiated rates run $141 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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $513 · 10th to 90th $363 to $513Professionalmedian $174 · 10th to 90th $132 to $240
$100$200$500facility $513professional $174

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
$512.86
Median
$512.86
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$173.78
Typical High
$223.87
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$398.11
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$190.55
Typical High
$338.84

Where Rhode Island 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.

Rhode Island· 17th of 51

$174

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.