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Annual Wellness Visit, Subsequent

Massachusetts 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?

$141

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $155 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 9 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$141$117 to $200
FacilityA hospital or hospital-owned outpatient department$155$110 to $204

How much rates vary

Facilitymedian $155 · 10th to 90th $105 to $295Professionalmedian $141 · 10th to 90th $98 to $324
$5$10$20$50$100$200$500facility $155professional $141

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
$104.71
Median
$109.65
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$131.83
Typical High
$234.42
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$109.65
Median
$158.49
Typical High
$398.11
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$144.54
Typical High
$812.83
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$407.38
AllWays Health Partners
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$61.66
Median
$91.20
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$138.04
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$181.97
Typical High
$251.19
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$181.97
Typical High
$263.03
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$245.47
Typical High
$371.54
Health New England
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$134.90
Typical High
$144.54
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$144.54
Typical High
$812.83
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$407.38
Mass General Brigham
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$61.66
Median
$91.20
Typical High
$186.21
Tufts
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$141.25
Typical High
$213.80
Tufts
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$223.87
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$194.98
Typical High
$380.19

Where Massachusetts 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.

Massachusetts· 5th of 51

$141

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.