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Annual Checkup, New Patient (Ages 18-39)

Kansas 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?

$126

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $115 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 6 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$126$97.72 to $155
FacilityA hospital or hospital-owned outpatient department$115$87.10 to $145

How much rates vary

Facilitymedian $115 · 10th to 90th $43 to $195Professionalmedian $126 · 10th to 90th $81 to $195
$50$100$200$500facility $115professional $126

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
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$107.15
Typical High
$169.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$144.54
Typical High
$144.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$144.54
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$134.90
Typical High
$218.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$199.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$165.96
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$70.79
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$128.82
Typical High
$186.21

Where Kansas 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.

Kansas· 34th of 51

$126

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.