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Annual Checkup, New Patient (Ages 18-39)

Connecticut 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 $158 · 10th–90th $117$2450%20%40%10th90th$158Professionalmedian $123 · 10th–90th $79$2820%10%20%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
$117.49
Median
$158.49
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$141.25
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$154.88
Typical High
$257.04
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$151.36
Typical High
$269.15
Health New England
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$190.55
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$144.54
Typical High
$257.04