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Annual Checkup, New Patient (Ages 18-39)

South Carolina 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 $129 · 10th–90th $85$2090%10%10th90th$129Professionalmedian $129 · 10th–90th $83$2690%10%10th90th$129$10.0$20.0$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
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$128.82
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$218.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$144.54
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$131.83
Typical High
$229.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$138.04
Typical High
$177.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$128.82
Typical High
$208.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$89.13
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$109.65
Typical High
$173.78