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Annual Wellness Visit, Subsequent

Virginia 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?

$132

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $132 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$132$112 to $166
FacilityA hospital or hospital-owned outpatient department$141$117 to $170

How much rates vary

Facilitymedian $141 · 10th to 90th $105 to $219Professionalmedian $132 · 10th to 90th $98 to $214
$5$10$20$50$100$200facility $141professional $132

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
$134.90
Median
$158.49
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$128.82
Typical High
$208.93
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$77.62
Median
$128.82
Typical High
$181.97
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$162.18
Typical High
$257.04
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$151.36
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
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$154.88
Typical High
$229.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$177.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$141.25
Typical High
$223.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$117.49
Sentara
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$213.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$134.90
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$131.83
Typical High
$218.78

Where Virginia 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.

Virginia· 22nd of 51

$132

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.