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Annual Checkup, New Patient (Ages 18-39)

Florida 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 $115 · 10th–90th $72$2090%10%20%10th90th$115Professionalmedian $120 · 10th–90th $78$2630%5%10%10th90th$120$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
$72.44
Median
$125.89
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$120.23
Typical High
$269.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$186.21
AvMed
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
AvMed
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$134.90
Typical High
$257.04
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$107.15
Typical High
$158.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$109.65
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$114.82
Typical High
$218.78
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$131.83