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Teen Wellness Visit, New Patient

Michigan 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?

$123

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $129 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$123$100 to $155
FacilityA hospital or hospital-owned outpatient department$129$110 to $141

How much rates vary

Facilitymedian $129 · 10th to 90th $102 to $170Professionalmedian $123 · 10th to 90th $83 to $224
$100$200$500facility $129professional $123

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
$102.33
Median
$128.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$245.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$134.90
Typical High
$234.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$162.18
Typical High
$162.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$117.49
Typical High
$131.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$169.82
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$128.82
Typical High
$281.84
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$138.04
Typical High
$158.49
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$125.89
Typical High
$204.17
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$109.65
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$128.82
Typical High
$223.87

Where Michigan 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.

Michigan· 28th of 51

$123

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.