go back

Child Wellness Visit, New Patient

South Dakota 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?

$178

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $178 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$178$112 to $269
FacilityA hospital or hospital-owned outpatient department$117$87.10 to $166

How much rates vary

Facilitymedian $117 · 10th to 90th $72 to $204Professionalmedian $178 · 10th to 90th $83 to $302
$50.0$100.0$200.0$500.0facility $117professional $178

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
$87.10
Median
$87.10
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$204.17
Typical High
$309.03
Avera
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$169.82
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$165.96
Typical High
$263.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$204.17
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$190.55
Typical High
$741.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$239.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$269.15
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$138.04
Typical High
$234.42
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$213.80

Where South Dakota 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.

South Dakota $178 · 2nd 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.