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Annual Wellness Visit, Initial

Washington rates for HCPCS G0438

Annual wellness visit; includes a personalized prevention plan of service (PPS), initial visit

Rates data updated July 2026.

Facilitymedian $240 · 10th–90th $148$4070%10%10th90th$240Professionalmedian $186 · 10th–90th $115$4470%10%10th90th$186$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$141.25
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$177.83
Typical High
$549.54
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$114.82
Median
$245.47
Typical High
$467.74
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$426.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$371.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$56.23
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$323.59
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$323.59
Typical High
$562.34
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$245.47
Typical High
$407.38
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$251.19