go back

Annual Checkup, New Patient (Ages 18-39)

Utah 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 $71 · 10th–90th $71$1620%50%90th$71Professionalmedian $145 · 10th–90th $83$4570%5%10th90th$145$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
$70.79
Median
$70.79
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$147.91
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$131.83
Typical High
$239.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$199.53
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$138.04
Typical High
$213.80
Select Health
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Select Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$112.20
Typical High
$173.78
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$125.89
Typical High
$204.17