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Annual Checkup, New Patient (Ages 18-39)

Idaho 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.

How much does Annual Checkup, New Patient (Ages 18-39) cost?

$141

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $135 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$141$107 to $204
FacilityA hospital or hospital-owned outpatient department$135$102 to $178

How much rates vary

Facilitymedian $135 · 10th to 90th $83 to $224Professionalmedian $141 · 10th to 90th $81 to $457
$100$200$500facility $135professional $141

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$134.90
Typical High
$478.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$204.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$190.55
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$147.91
Typical High
$229.09
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$134.90
Typical High
$229.09
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$269.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$251.19
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$204.17
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$162.18
Typical High
$257.04
Select Health
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$128.82
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$151.36
Typical High
$239.88

Where Idaho sits

The same service costs 2.1 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Idaho· 19th of 51

$141

MN $214DE $102

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.