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Annual Checkup, New Patient (Ages 18-39)

North Carolina 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 $129 · 10th–90th $87$2400%10%10th90th$129Professionalmedian $158 · 10th–90th $95$3020%5%10%10th90th$158$10.0$20.0$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
Facility
Modifier
Global
Typical Low
$95.50
Median
$223.87
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$134.90
Typical High
$426.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$218.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$181.97
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$141.25
Typical High
$251.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$138.04
Typical High
$239.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$128.82
Typical High
$208.93
Medcost
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$331.13
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$181.97
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$147.91
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$204.17
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83