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Annual Checkup, New Patient (Ages 18-39)

Nebraska 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 $141 · 10th–90th $85$2340%10%10th90th$141Professionalmedian $170 · 10th–90th $87$2950%10%10th90th$170$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
$89.13
Median
$89.13
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$165.96
Typical High
$295.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$218.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$158.49
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$186.21
Typical High
$316.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$141.25
Typical High
$229.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$239.88
Typical High
$812.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$194.98
Typical High
$269.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$208.93
Typical High
$288.40
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$123.03
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$154.88
Typical High
$309.03