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Annual Checkup, New Patient (Ages 40-64)

Rhode Island 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?

$151

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $151 for this service. Most negotiated rates run $117 to $200.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $229 · 10th to 90th $132 to $380Professionalmedian $151 · 10th to 90th $105 to $275
$0.1$1.0$10.0$100.0$1.0Kfacility $229professional $151

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
$229.09
Median
$380.19
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$436.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$147.91
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$173.78
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$154.88
Typical High
$234.42

Where Rhode Island 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.

Rhode Island $151 · 26th 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.