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Child Wellness Visit, New Patient

New Jersey 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?

$105

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $105 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$105$81.28 to $141
FacilityA hospital or hospital-owned outpatient department$105$79.43 to $138

How much rates vary

Facilitymedian $105 · 10th to 90th $71 to $166Professionalmedian $105 · 10th to 90th $71 to $229
$20.0$50.0$100.0$200.0$500.0facility $105professional $105

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
$70.79
Median
$104.71
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$102.33
Typical High
$239.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$117.49
Typical High
$128.82
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$169.82
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$218.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$131.83
Typical High
$245.47
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$120.23
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$107.15
Typical High
$199.53

Where New Jersey 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.

New Jersey $105 · 35th 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.