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Annual Wellness Visit, Subsequent

Montana 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 Montana, 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 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$135$110 to $158
FacilityA hospital or hospital-owned outpatient department$195$138 to $224

How much rates vary

Facilitymedian $195 · 10th to 90th $115 to $240Professionalmedian $135 · 10th to 90th $78 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
$128.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$131.83
Typical High
$204.17
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$2.82
Median
$138.04
Typical High
$208.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$66,069.34
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$204.17
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$204.17
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$234.42
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$234.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$269.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$131.83
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$181.97
Typical High
$223.87

Where Montana 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.

Montana· 11th 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.