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Teen Wellness Visit, New Patient

Illinois rates for HCPCS 99384

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

Rates data updated July 2026.

How much does Teen Wellness Visit, New Patient cost?

$126

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $158 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$126$100 to $174
FacilityA hospital or hospital-owned outpatient department$158$95.50 to $209

How much rates vary

Facilitymedian $158 · 10th to 90th $69 to $282Professionalmedian $126 · 10th to 90th $87 to $219
$50$100$200$500facility $158professional $126

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
$69.18
Median
$158.49
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$123.03
Typical High
$257.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$134.90
Typical High
$190.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$389.05
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$125.89
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$147.91
Typical High
$239.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$177.83
Typical High
$302.00
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$123.03
Typical High
$177.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$120.23
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$141.25
Typical High
$251.19

Where Illinois sits

The same service costs 2.0 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 24th of 51

$126

MN $219DE $107

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.