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Annual Wellness Visit, Initial

Utah 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?

$182

Typical physician fee. In Utah, July 2026.

Insurers have agreed to pay about $182 for this service. Most negotiated rates run $141 to $240.

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 $200 · 10th to 90th $200 to $229Professionalmedian $182 · 10th to 90th $115 to $380
$50$100$200$500facility $200professional $182

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
$199.53
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$177.83
Typical High
$380.19
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$114.82
Median
$194.98
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$208.93
Typical High
$275.42
Select Health
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Select Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$186.21
Typical High
$302.00
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$234.42
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$295.12

Where Utah 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.

Utah· 16th of 51

$182

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.