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Annual Wellness Visit, Subsequent

Michigan 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 Michigan, 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 $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 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$107 to $151
FacilityA hospital or hospital-owned outpatient department$132$107 to $135

How much rates vary

Facilitymedian $132 · 10th to 90th $95 to $191Professionalmedian $129 · 10th to 90th $78 to $204
$5$10$20$50$100$200facility $132professional $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
$95.50
Median
$131.83
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$128.82
Typical High
$186.21
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$2.82
Median
$138.04
Typical High
$208.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$213.80
Typical High
$223.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$154.88
Typical High
$173.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$162.18
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$165.96
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$181.97
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$128.82
Typical High
$218.78
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$123.03
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$131.83
Typical High
$229.09

Where Michigan 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.

Michigan· 31st 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.