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Annual Checkup, New Patient (Ages 18-39)

New Mexico 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 $135 · 10th–90th $83$2510%10%10th90th$135Professionalmedian $123 · 10th–90th $85$2690%10%10th90th$123$50.0$100.0$200.0$500.0$1.0K

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
$128.82
Median
$134.90
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$125.89
Typical High
$446.68
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$123.03
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$977.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$120.23
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$131.83
Typical High
$204.17
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$128.82
Typical High
$218.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$131.83
Typical High
$208.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$147.91
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$151.36
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$141.25
Typical High
$239.88