go back

Annual Checkup, New Patient (Ages 18-39)

Minnesota 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?

$214

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $158 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$214$135 to $309
FacilityA hospital or hospital-owned outpatient department$158$110 to $282

How much rates vary

Facilitymedian $158 · 10th to 90th $87 to $537Professionalmedian $214 · 10th to 90th $98 to $398
$100$200$500$1Kfacility $158professional $214

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
$93.33
Median
$93.33
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$134.90
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$173.78
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$263.03
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$426.58
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$251.19
Typical High
$457.09
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$512.86
Typical High
$1,023.29
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$436.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$138.04
Typical High
$281.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$302.00
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$204.17
Typical High
$338.84

Where Minnesota 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.

Minnesota· 1st of 51

$214

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.