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Annual Checkup, New Patient (Ages 40-64)

Nebraska 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?

$209

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $174 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$209$132 to $295
FacilityA hospital or hospital-owned outpatient department$174$132 to $229

How much rates vary

Facilitymedian $174 · 10th to 90th $105 to $331Professionalmedian $209 · 10th to 90th $105 to $347
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $174professional $209

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
$107.15
Median
$141.25
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$208.93
Typical High
$346.74
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$199.53
Typical High
$263.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$190.55
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$223.87
Typical High
$363.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$165.96
Typical High
$269.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$269.15
Typical High
$954.99
Midlands
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$234.42
Typical High
$323.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$257.04
Typical High
$338.84
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$575.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$141.25
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$177.83
Typical High
$331.13

Where Nebraska 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.

Nebraska $209 · 5th 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.