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Annual Checkup, New Patient (Ages 18-39)

North Dakota 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 $132 · 10th–90th $93$2090%20%10th90th$132Professionalmedian $186 · 10th–90th $93$3470%5%10%10th90th$186$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
$93.33
Median
$97.72
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$141.25
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$239.88
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$316.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$131.83
Typical High
$245.47
Medica
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$245.47
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$162.18
Typical High
$295.12