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Annual Checkup, New Patient (Ages 40-64)

Virginia 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 negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $145 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$151$120 to $204
FacilityA hospital or hospital-owned outpatient department$145$120 to $186

How much rates vary

Facilitymedian $145 · 10th to 90th $105 to $234Professionalmedian $151 · 10th to 90th $102 to $275
$1.0$10.0$100.0$1.0Kfacility $145professional $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. 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
$109.65
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$288.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$275.42
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$91.20
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$263.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$173.78
Typical High
$263.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$208.93
Medcost
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$151.36
Typical High
$245.47
Medcost
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$186.21
Sentara
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$208.93
Sentara
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$112.20
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$144.54
Typical High
$257.04

Where Virginia 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.

Virginia $151 · 22nd 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.