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Annual Checkup, New Patient (Ages 18-39)

Texas 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 $81$2400%5%10%10th90th$129Professionalmedian $107 · 10th–90th $76$1950%10%10th90th$107$20.0$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
$77.62
Median
$102.33
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$223.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$128.82
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$234.42
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$134.90
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$134.90
Typical High
$194.98
Christus
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$134.90
Typical High
$234.42
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$812.83
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$218.78
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$169.82
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$85.11
Typical High
$114.82
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$158.49
Typical High
$281.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$218.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$134.90
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$186.21
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$128.82
Typical High
$181.97