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Annual Checkup, New Patient (Ages 18-39)

Rhode Island 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 $372 · 10th–90th $110$3890%50%10th90th$372Professionalmedian $135 · 10th–90th $89$2450%20%10th90th$135$0.0$0.2$2.0$20.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$389.05
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$138.04
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$151.36
Typical High
$380.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$128.82
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$147.91
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$204.17