search again

Annual Checkup, New Patient (Ages 18-39)

Nationwide rates for HCPCS 99385

A comprehensive first-time wellness visit for an adult patient between about 18 and 39 who is new to this provider, focused on preventive care rather than an existing illness. It typically includes a full health history, an age-appropriate physical exam, and counseling on preventive topics such as screenings, immunizations, and healthy lifestyle habits. It's meant to establish a baseline and catch potential health issues early.

Rates data updated July 2026.

Facilitymedian $129 · 10th–90th $81$2450%20%40%10th90th$129Professionalmedian $132 · 10th–90th $81$3160%20%10th90th$132$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$128.82
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$128.82
Typical High
$354.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$109.65
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$123.03
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$138.04
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$128.82
Typical High
$269.15