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Annual Wellness Visit, Subsequent

North Carolina 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 North Carolina, 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 $141 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$141$117 to $182
FacilityA hospital or hospital-owned outpatient department$141$129 to $178

How much rates vary

Facilitymedian $141 · 10th to 90th $110 to $229Professionalmedian $141 · 10th to 90th $98 to $251
$5$10$20$50$100$200$500facility $141professional $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
$128.82
Median
$128.82
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$125.89
Typical High
$204.17
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$77.62
Median
$131.83
Typical High
$208.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$109.65
Typical High
$128.82
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$72.44
Median
$120.23
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$169.82
Typical High
$281.84
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
$141.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$173.78
Typical High
$173.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$141.25
Typical High
$229.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$281.84
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$239.88
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$208.93
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,071.52

Where North Carolina 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.

North Carolina· 3rd 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.