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Annual Checkup, New Patient (Ages 40-64)

Idaho 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?

$162

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $162 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$162$123 to $234
FacilityA hospital or hospital-owned outpatient department$162$123 to $209

How much rates vary

Facilitymedian $162 · 10th to 90th $100 to $263Professionalmedian $162 · 10th to 90th $100 to $525
$50.0$100.0$200.0$500.0facility $162professional $162

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
Professional
Modifier
Global
Typical Low
$97.72
Median
$151.36
Typical High
$537.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$239.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$234.42
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$177.83
Typical High
$269.15
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$158.49
Typical High
$263.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$309.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$33.11
Typical High
$288.40
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$239.88
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$309.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Select Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$177.83
Typical High
$275.42

Where Idaho 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.

Idaho $162 · 17th 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.