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Annual Checkup, New Patient (Ages 40-64)

Oregon 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 Oregon, 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 $209 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$135 to $288
FacilityA hospital or hospital-owned outpatient department$209$148 to $288

How much rates vary

Facilitymedian $209 · 10th to 90th $110 to $302Professionalmedian $209 · 10th to 90th $107 to $457
$1.0$5.0$20.0$100.0$500.0facility $209professional $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
$213.80
Median
$275.42
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$169.82
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$229.09
Typical High
$363.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$257.04
Typical High
$371.54
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$169.82
Typical High
$281.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$354.81
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$288.40
Typical High
$295.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$288.40
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$257.04
Typical High
$371.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$758.58
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$275.42
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
$125.89
Median
$234.42
Typical High
$363.08

Where Oregon 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.

Oregon $209 · 6th 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.