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Annual Wellness Visit, Subsequent

New Jersey 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?

$126

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $107 to $145.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $107 · 10th to 90th $107 to $123Professionalmedian $126 · 10th to 90th $83 to $178
$5$10$20$50$100$200facility $107professional $126

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
$107.15
Typical High
$123.03
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$128.82
Typical High
$177.83
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$77.62
Median
$141.25
Typical High
$204.17
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$107.15
Typical High
$125.89
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$72.44
Median
$120.23
Typical High
$141.25
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$151.36
Typical High
$354.81
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
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$295.12
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$138.04
Typical High
$257.04

Where New Jersey 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.

New Jersey· 35th of 51

$126

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.