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Annual Checkup, New Patient (Ages 18-39)

Arizona 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 $112 · 10th–90th $76$1860%10%10th90th$112Professionalmedian $126 · 10th–90th $79$4370%10%10th90th$126$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$69.18
Median
$69.18
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$125.89
Typical High
$446.68
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$169.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$114.82
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$245.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$112.20
Typical High
$190.55
Medica
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$75.86
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$204.17