go back

Annual Wellness Visit, Subsequent

Iowa rates for HCPCS G0439

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

Rates data updated July 2026.

How much does Annual Wellness Visit, Subsequent cost?

$135

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $166 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$135$120 to $174
FacilityA hospital or hospital-owned outpatient department$166$123 to $257

How much rates vary

Facilitymedian $166 · 10th to 90th $107 to $295Professionalmedian $135 · 10th to 90th $105 to $257
$5$10$20$50$100$200$500facility $166professional $135

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$257.04
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$131.83
Typical High
$234.42
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$109.65
Median
$158.49
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$239.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$223.87
Typical High
$302.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$245.47
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$158.49
Typical High
$812.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$190.55
Typical High
$302.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$239.88
Typical High
$346.74
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$239.88
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$158.49
Typical High
$288.40
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$177.83
Typical High
$190.55

Where Iowa sits

Rates are fairly even across states for this service. 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.

Iowa· 13th of 51

$135

NH $151MS $117

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.