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Annual Wellness Visit, Initial

South Dakota 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?

$257

Typical physician fee. In South Dakota, October 2026.

Insurers have agreed to pay about $257 for this service. Most negotiated rates run $186 to $269.

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 $302 · 10th to 90th $166 to $309Professionalmedian $257 · 10th to 90th $170 to $331
$200$500$1Kfacility $302professional $257

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$169.82
Median
$245.47
Typical High
$309.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$177.83
Typical High
$245.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$229.09
Typical High
$269.15
Medica
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$302.00
Typical High
$309.03
Medica
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$288.40
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Midlands
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$275.42
Typical High
$380.19
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$208.93
Typical High
$323.59
United
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$251.19
Typical High
$331.13
Wellmark
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$263.03
Typical High
$263.03

Where South Dakota 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.

South Dakota· 8th of 51

$257

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.