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Annual Checkup, New Patient (Ages 18-39)

Colorado 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 $63$2090%5%10%10th90th$129Professionalmedian $123 · 10th–90th $81$2630%10%10th90th$123$1.0$5.0$20.0$100.0$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
$48.98
Median
$50.12
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$141.25
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$147.91
Typical High
$239.88
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$134.90
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$363.08
Select Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$109.65
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$141.25
Typical High
$234.42