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Child Wellness Visit, New Patient

North Carolina 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?

$132

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $117 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$135$100 to $186
FacilityA hospital or hospital-owned outpatient department$117$91.20 to $155

How much rates vary

Facilitymedian $117 · 10th to 90th $78 to $214Professionalmedian $135 · 10th to 90th $83 to $257
$10.0$20.0$50.0$100.0$200.0$500.0facility $117professional $135

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
$83.18
Median
$213.80
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$109.65
Typical High
$257.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$120.23
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$165.96
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$128.82
Typical High
$229.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$125.89
Typical High
$223.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$114.82
Typical High
$190.55
Medcost
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$302.00
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$162.18
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$134.90
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$181.97
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31

Where North Carolina 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.

North Carolina $132 · 9th 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.