go back

Annual Checkup, New Patient (Ages 40-64)

Michigan 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?

$148

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $145 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$148$120 to $200
FacilityA hospital or hospital-owned outpatient department$145$120 to $162

How much rates vary

Facilitymedian $145 · 10th to 90th $89 to $170Professionalmedian $148 · 10th to 90th $100 to $295
$50.0$100.0$200.0$500.0facility $145professional $148

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
$89.13
Median
$125.89
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$316.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$229.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$169.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$181.97
CareSource
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$138.04
Typical High
$154.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$323.59
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$154.88
Typical High
$177.83
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$144.54
Typical High
$229.09
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$269.15
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$128.82
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$288.40

Where Michigan 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.

Michigan $148 · 29th 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.