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Annual Wellness Visit, Subsequent

Kentucky 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?

$120

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $132 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$120$102 to $141
FacilityA hospital or hospital-owned outpatient department$132$120 to $178

How much rates vary

Facilitymedian $132 · 10th to 90th $115 to $186Professionalmedian $120 · 10th to 90th $91 to $200
$5$10$20$50$100$200facility $132professional $120

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
$114.82
Median
$120.23
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$123.03
Typical High
$208.93
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$77.62
Median
$151.36
Typical High
$213.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$109.65
Typical High
$123.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$138.04
Typical High
$181.97
CareSource
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$141.25
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$186.21

Where Kentucky 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.

Kentucky· 48th of 51

$120

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.