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Annual Checkup, New Patient (Ages 18-39)

West Virginia 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 $145 · 10th–90th $93$2290%10%20%10th90th$145Professionalmedian $166 · 10th–90th $87$2630%10%10th90th$166$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
$102.33
Median
$144.54
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$169.82
Typical High
$263.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$97.72
Typical High
$120.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$128.82
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$131.83
Typical High
$645.65
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$151.36
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$131.83
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$114.82
Typical High
$177.83