go back

Annual Wellness Visit, Subsequent

Maine 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 Maine, 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 $129 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 6 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$107 to $229
FacilityA hospital or hospital-owned outpatient department$129$107 to $214

How much rates vary

Facilitymedian $129 · 10th to 90th $107 to $302Professionalmedian $141 · 10th to 90th $91 to $324
$100$200$500facility $129professional $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
$107.15
Median
$128.82
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$107.15
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$138.04
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$416.87
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$302.00
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$117.49
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$173.78
Typical High
$302.00

Where Maine 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.

Maine· 6th 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.