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Annual Checkup, New Patient (Ages 18-39)

Alabama 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.

How much does Annual Checkup, New Patient (Ages 18-39) cost?

$112

Typical physician fee. In Alabama, July 2026.

Insurers have agreed to pay about $112 for this service. Most negotiated rates run $91.20 to $148.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $138 · 10th to 90th $138 to $138Professionalmedian $112 · 10th to 90th $79 to $200
$100$200facility $138professional $112

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$112.20
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$120.23
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$125.89
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$109.65
Typical High
$177.83

Where Alabama sits

The same service costs 2.1 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.

Alabama· 47th of 51

$112

MN $214DE $102

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.