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Child Wellness Visit, New Patient

Maine 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?

$117

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $89.13 to $170.

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.

How much rates vary

Facilitymedian $71 · 10th to 90th $71 to $98Professionalmedian $117 · 10th to 90th $71 to $240
$1.0$10.0$100.0$1.0K$10.0Kfacility $71professional $117

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$97.72
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$128.82
Typical High
$229.09
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$154.88
Typical High
$295.12
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$97.72
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$147.91
Typical High
$239.88

Where Maine 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.

Maine $117 · 16th 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.