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Teen Wellness Visit, New Patient

North Carolina 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?

$151

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $132 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$151$115 to $209
FacilityA hospital or hospital-owned outpatient department$132$107 to $174

How much rates vary

Facilitymedian $132 · 10th to 90th $89 to $245Professionalmedian $151 · 10th to 90th $98 to $288
$100$200$500facility $132professional $151

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
$100.00
Median
$251.19
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$131.83
Typical High
$281.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$134.90
Typical High
$239.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$186.21
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$144.54
Typical High
$263.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$138.04
Typical High
$251.19
Medcost
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$131.83
Typical High
$213.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$338.84
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$186.21
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$151.36
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$120.23
Typical High
$204.17
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14

Where North Carolina 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.

North Carolina· 9th of 51

$151

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.