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Annual Checkup, New Patient (Ages 18-39)

New Hampshire 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?

$155

Typical physician fee. In New Hampshire, July 2026.

Insurers have agreed to pay about $155 for this service. Most negotiated rates run $112 to $219.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $166 · 10th to 90th $78 to $240Professionalmedian $155 · 10th to 90th $89 to $282
$100$200facility $166professional $155

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
$104.71
Median
$165.96
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$131.83
Typical High
$257.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$275.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$147.91
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$165.96
Typical High
$275.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$173.78
Typical High
$309.03
Optum
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$147.91
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$316.23
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$77.62
Typical High
$120.23

Where New Hampshire 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.

New Hampshire· 13th of 51

$155

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.