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Annual Checkup, New Patient (Ages 18-39)

Wyoming 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 October 2026.

How much does Annual Checkup, New Patient (Ages 18-39) cost?

$166

Typical physician fee. In Wyoming, October 2026.

Insurers have agreed to pay about $166 for this service. Most negotiated rates run $135 to $209.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $98 · 10th to 90th $98 to $132Professionalmedian $166 · 10th to 90th $129 to $234
$100$200facility $98professional $166

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$131.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$128.82
Typical High
$147.91
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$14.45
Median
$15.85
Typical High
$19.95
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$165.96
Typical High
$234.42
BCBS Wyoming
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$95.50
Median
$117.49
Typical High
$162.18
BCBS Wyoming
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$26.92
Median
$33.11
Typical High
$46.77
Cigna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$151.36
Typical High
$213.80
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$177.83
Typical High
$239.88
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$48.98
Median
$52.48
Typical High
$66.07
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.77
Median
$10.72
Typical High
$13.18

Where Wyoming sits

The same service costs 2.7 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wyoming· 8th of 51

$166

AK $251DC $93.33

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.