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Annual Checkup, New Patient (Ages 40-64)

Nevada 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?

$138

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $138 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 7 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$138$112 to $214
FacilityA hospital or hospital-owned outpatient department$138$110 to $138

How much rates vary

Facilitymedian $138 · 10th to 90th $83 to $155Professionalmedian $138 · 10th to 90th $95 to $407
$1.0$10.0$100.0facility $138professional $138

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. Small sample; interpret with caution. 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
$89.13
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$138.04
Typical High
$478.63
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$154.88
Typical High
$245.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$239.88
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$1.35
Typical High
$3.24
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$1.35
Typical High
$1.35
Select Health
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$138.04
Typical High
$154.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$100.00
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$109.65
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$141.25
Typical High
$245.47

Where Nevada 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.

Nevada $138 · 42nd 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.