go back

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.

How much does Annual Checkup, New Patient (Ages 18-39) cost?

$182

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $132 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 5 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$186$115 to $269
FacilityA hospital or hospital-owned outpatient department$132$97.72 to $135

How much rates vary

Facilitymedian $132 · 10th to 90th $93 to $209Professionalmedian $186 · 10th to 90th $93 to $347
$100$200$500facility $132professional $186

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
$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

Where North Dakota 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.

North Dakota· 3rd of 51

$182

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.