go back

Annual Checkup, New Patient (Ages 18-39)

South Dakota 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 $132 · 10th–90th $81$2240%10%10th90th$132Professionalmedian $162 · 10th–90th $95$3090%5%10%10th90th$162$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
$97.72
Median
$97.72
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$162.18
Typical High
$309.03
Avera
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Avera
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$181.97
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$181.97
Typical High
$288.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$131.83
Typical High
$229.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$208.93
Typical High
$812.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$263.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$173.78
Typical High
$295.12
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$158.49
Typical High
$269.15
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$141.25
Typical High
$234.42