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Nationwide rates for HCPCS 99386

Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years

Facilitymedian $151 · 10th–90th $98$2950%20%40%10th90th$151Professionalmedian $170 · 10th–90th $105$3630%20%10th90th$170$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $162.18 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $173.78 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $134.90 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $141.25 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $173.78 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $165.96 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $131.83 / $204.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $147.91 / $288.40