go back

Annual Wellness Visit, Subsequent

New Mexico 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 negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $151 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 7 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$123$100 to $151
FacilityA hospital or hospital-owned outpatient department$151$129 to $214

How much rates vary

Facilitymedian $151 · 10th to 90th $107 to $501Professionalmedian $123 · 10th to 90th $91 to $204
$5$20$100$500facility $151professional $123

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
$323.59
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$128.82
Typical High
$204.17
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$77.62
Median
$144.54
Typical High
$208.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$104.71
Typical High
$123.03
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$112.20
Median
$123.03
Typical High
$141.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$977.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$186.21
Providence
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$234.42
Providence
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$154.88
Typical High
$229.09

Where New Mexico 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 Mexico· 38th 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.