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Annual Wellness Visit, Subsequent

Illinois 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 Illinois, 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 $195 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 7 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$117 to $166
FacilityA hospital or hospital-owned outpatient department$195$135 to $219

How much rates vary

Facilitymedian $195 · 10th to 90th $135 to $302Professionalmedian $135 · 10th to 90th $91 to $209
$5$10$20$50$100$200$500facility $195professional $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
$134.90
Median
$194.98
Typical High
$302.00
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$177.83
Median
$177.83
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$128.82
Typical High
$204.17
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$77.62
Median
$138.04
Typical High
$204.17
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$109.65
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$72.44
Median
$72.44
Typical High
$120.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$154.88
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$144.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$213.80
Typical High
$309.03
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$173.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$151.36
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$144.54
Typical High
$245.47

Where Illinois 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.

Illinois· 12th 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.