go back

Annual Wellness Visit, Subsequent

Tennessee 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?

$123

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $224 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$123$102 to $141
FacilityA hospital or hospital-owned outpatient department$224$191 to $813

How much rates vary

Facilitymedian $224 · 10th to 90th $158 to $813Professionalmedian $123 · 10th to 90th $89 to $209
$5$10$20$50$100$200$500facility $224professional $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
$190.55
Median
$190.55
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$123.03
Typical High
$204.17
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$97.72
Median
$141.25
Typical High
$213.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$117.49
Typical High
$151.36
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$154.88
Typical High
$245.47
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
$109.65
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,071.52
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$181.97
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$125.89
Typical High
$204.17

Where Tennessee 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.

Tennessee· 44th of 51

$123

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.