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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.

Facilitymedian $135 · 10th–90th $83$2240%5%10%10th90th$135Professionalmedian $141 · 10th–90th $81$4570%5%10%10th90th$141$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
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