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Annual Checkup, New Patient (Ages 18-39)

Oregon 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 $174 · 10th–90th $93$2570%10%10th90th$174Professionalmedian $178 · 10th–90th $89$4270%5%10th90th$178$1.0$5.0$20.0$100.0$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
$208.93
Median
$234.42
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$151.36
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$190.55
Typical High
$316.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$316.23
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$141.25
Typical High
$239.88
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$204.17
Typical High
$309.03
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$245.47
Typical High
$257.04
Providence
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$245.47
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$213.80
Typical High
$323.59
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$446.68
Typical High
$660.69
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$234.42
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$194.98
Typical High
$309.03