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Annual Checkup, New Patient (Ages 40-64)

North Dakota 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?

$224

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $151 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 5 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$229$132 to $324
FacilityA hospital or hospital-owned outpatient department$151$120 to $162

How much rates vary

Facilitymedian $151 · 10th to 90th $115 to $245Professionalmedian $229 · 10th to 90th $112 to $398
$100$200$500facility $151professional $229

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
$120.23
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$186.21
Typical High
$416.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$288.40
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$229.09
Typical High
$363.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$281.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$281.84
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$194.98
Typical High
$338.84

Where North Dakota sits

The same service costs 2.1 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Dakota· 3rd of 51

$224

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.