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Annual Checkup, New Patient (Ages 40-64)

Montana 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?

$178

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $195 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$178$123 to $240
FacilityA hospital or hospital-owned outpatient department$195$151 to $251

How much rates vary

Facilitymedian $195 · 10th to 90th $115 to $269Professionalmedian $178 · 10th to 90th $105 to $501
$100.0$1.0K$10.0K$100.0Kfacility $195professional $178

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
$100.00
Median
$162.18
Typical High
$524.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$66,069.34
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$199.53
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$177.83
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$173.78
Typical High
$316.23
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$234.42
Typical High
$269.15
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$234.42
Typical High
$269.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$158.49
Typical High
$288.40
Providence
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$234.42
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$194.98
Typical High
$269.15

Where Montana 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.

Montana $178 · 13th 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.