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Annual Wellness Visit, Subsequent

South Dakota 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 South Dakota, 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 $275 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$115 to $135
FacilityA hospital or hospital-owned outpatient department$275$209 to $490

How much rates vary

Facilitymedian $275 · 10th to 90th $138 to $490Professionalmedian $129 · 10th to 90th $107 to $224
$50$100$200$500facility $275professional $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
$275.42
Median
$275.42
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$208.93
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$112.20
Median
$120.23
Typical High
$181.97
Avera
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$208.93
Typical High
$213.80
Avera
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$199.53
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$144.54
Typical High
$186.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$281.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$165.96
Typical High
$812.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$190.55
Typical High
$302.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$257.04
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$190.55
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$173.78
Typical High
$302.00
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$208.93
Typical High
$208.93

Where South Dakota 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.

South Dakota· 25th 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.