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Annual Checkup, New Patient (Ages 40-64)

Tennessee 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?

$145

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 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 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$145$115 to $195
FacilityA hospital or hospital-owned outpatient department$151$120 to $234

How much rates vary

Facilitymedian $151 · 10th to 90th $107 to $724Professionalmedian $145 · 10th to 90th $98 to $275
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $151professional $145

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
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$154.88
Typical High
$251.19
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$954.99
Typical High
$954.99
Optum
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$162.18
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$239.88

Where Tennessee 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.

Tennessee $145 · 32nd 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.