go back

Child Wellness Visit, New Patient

Kentucky rates for HCPCS 99383

This is a comprehensive preventive checkup for a school-age child who is new to the practice, including an age-appropriate history, physical exam, and counseling on health and safety topics. It is a routine wellness visit rather than a visit for a specific illness or injury.

Rates data updated July 2026.

How much does Child Wellness Visit, New Patient cost?

$100

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $95.50 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$100$83.18 to $126
FacilityA hospital or hospital-owned outpatient department$95.50$77.62 to $102

How much rates vary

Facilitymedian $95 · 10th to 90th $72 to $123Professionalmedian $100 · 10th to 90th $69 to $214
$1.0$5.0$20.0$100.0$500.0facility $95professional $100

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
$72.44
Median
$77.62
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$251.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$117.49
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$131.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$89.13
Typical High
$144.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$120.23
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$102.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$123.03
Typical High
$602.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$89.13
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$158.49

Where Kentucky sits

The same service costs 2.2 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $100 · 43rd of 51
MN $204DE $93.33

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.