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Annual Checkup, New Patient (Ages 18-39)

Maryland 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 physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $95.50 to $195.

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.

How much rates vary

Facilitymedian $95 · 10th to 90th $71 to $132Professionalmedian $126 · 10th to 90th $79 to $288
$100$200$500facility $95professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$128.82
Typical High
$295.12
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$74.13
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$128.82
Typical High
$218.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$141.25
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$123.03
Typical High
$213.80
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$134.90
Typical High
$199.53

Where Maryland 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.

Maryland· 35th 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.