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Annual Checkup, New Patient (Ages 18-39)

Wisconsin 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 $120 · 10th–90th $76$2400%10%10th90th$120Professionalmedian $204 · 10th–90th $87$4270%5%10th90th$204$1.0$5.0$20.0$100.0$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
$91.20
Median
$199.53
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$173.78
Typical High
$478.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$302.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$107.15
Typical High
$123.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$154.88
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$407.38
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$213.80
Typical High
$371.54
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$114.82
Typical High
$223.87
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$346.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$117.49
Typical High
$239.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$245.47
Typical High
$812.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$64.57
Typical High
$169.82
Network Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$204.17
Typical High
$288.40
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$114.82
Typical High
$223.87
Quartz
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$229.09
Typical High
$371.54
Quartz
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$602.56
Quartz
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$257.04
Typical High
$812.83
Security Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$218.78
Security Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$109.65
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$239.88
Typical High
$354.81