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Annual Checkup, New Patient (Ages 18-39)

Delaware 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.

Professionalmedian $102 · 10th–90th $78$1740%20%10th90th$102$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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
Professional
Modifier
Global
Typical Low
$77.62
Median
$102.33
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$120.23
Typical High
$213.80
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$165.96
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$186.21