go back

Teen Wellness Visit, New Patient

South Dakota 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?

$174

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $135 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$117 to $275
FacilityA hospital or hospital-owned outpatient department$135$100 to $186

How much rates vary

Facilitymedian $135 · 10th to 90th $83 to $234Professionalmedian $178 · 10th to 90th $93 to $324
$50$100$200$500facility $135professional $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
$102.33
Median
$102.33
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$158.49
Typical High
$323.59
Avera
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$190.55
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$190.55
Typical High
$295.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$134.90
Typical High
$234.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$213.80
Typical High
$851.14
Midlands
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$269.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$177.83
Typical High
$302.00
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$177.83
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$158.49
Typical High
$263.03
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$147.91
Typical High
$239.88

Where South Dakota 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.

South Dakota· 4th of 51

$174

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.