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Annual Wellness Visit, Initial

Vermont 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?

$186

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $186 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $186 · 10th to 90th $141 to $245
$200professional $186

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
Professional
Modifier
None
Typical Low
$138.04
Median
$186.21
Typical High
$186.21
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$234.42
Typical High
$275.42
United
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$239.88
Typical High
$263.03

Where Vermont 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.

Vermont· 24th of 51

$186

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.