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Annual Checkup, New Patient (Ages 40-64)

Iowa 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?

$200

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $148 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 8 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$204$138 to $302
FacilityA hospital or hospital-owned outpatient department$148$120 to $209

How much rates vary

Facilitymedian $148 · 10th to 90th $95 to $282Professionalmedian $204 · 10th to 90th $112 to $525
$50.0$100.0$200.0$500.0$1.0Kfacility $148professional $204

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
$173.78
Median
$239.88
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$204.17
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$204.17
Typical High
$354.81
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$204.17
Typical High
$346.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$151.36
Typical High
$257.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$954.99
Midlands
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$234.42
Typical High
$380.19
Midlands
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$295.12
Typical High
$398.11
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$416.87
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$169.82
Typical High
$309.03
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$257.04

Where Iowa 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.

Iowa $200 · 7th 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.