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Annual Wellness Visit, Subsequent

Idaho 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?

$129

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $174 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$129$97.72 to $155
FacilityA hospital or hospital-owned outpatient department$174$129 to $214

How much rates vary

Facilitymedian $174 · 10th to 90th $115 to $240Professionalmedian $129 · 10th to 90th $71 to $234
$2$5$10$20$50$100$200facility $174professional $129

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
$128.82
Median
$204.17
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$117.49
Typical High
$204.17
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$2.82
Median
$77.62
Typical High
$208.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$204.17
Typical High
$218.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$239.88
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$141.25
Typical High
$245.47
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$239.88
Typical High
$302.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$77.62
Typical High
$229.09
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$208.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$186.21
Typical High
$302.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$229.09

Where Idaho 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.

Idaho· 29th of 51

$129

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.