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Annual Checkup, New Patient (Ages 40-64)

Minnesota 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?

$257

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $186 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$257$155 to $355
FacilityA hospital or hospital-owned outpatient department$186$129 to $339

How much rates vary

Facilitymedian $186 · 10th to 90th $107 to $631Professionalmedian $257 · 10th to 90th $115 to $437
$50.0$100.0$200.0$500.0$1.0Kfacility $186professional $257

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
$114.82
Median
$114.82
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$154.88
Typical High
$467.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$208.93
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$316.23
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$489.78
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$295.12
Typical High
$524.81
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$602.56
Typical High
$1,174.90
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$501.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$331.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$346.74
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$239.88
Typical High
$389.05

Where Minnesota 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.

Minnesota $257 · 1st 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.