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Annual Checkup, New Patient (Ages 40-64)

Arizona rates for HCPCS 99386

A comprehensive first-time wellness visit for an adult patient between about 40 and 64 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 that become more relevant with age, such as certain screenings and lifestyle guidance. It's meant to establish a baseline and catch potential health issues early.

Rates data updated July 2026.

How much does Annual Checkup, New Patient (Ages 40-64) cost?

$141

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $129 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$141$115 to $224
FacilityA hospital or hospital-owned outpatient department$129$107 to $162

How much rates vary

Facilitymedian $129 · 10th to 90th $91 to $219Professionalmedian $141 · 10th to 90th $95 to $501
$50.0$100.0$200.0$500.0$1.0Kfacility $129professional $141

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$141.25
Typical High
$512.86
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$144.54
Typical High
$181.97
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$131.83
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$281.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$131.83
Typical High
$223.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$181.97
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$138.04
Typical High
$239.88

Where Arizona sits

The same service costs 2.1 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Arizona $141 · 38th of 51
MN $257DE $120

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.