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Annual Checkup, New Patient (Ages 40-64)

Vermont 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?

$170

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $170 for this service. Most negotiated rates run $135 to $251.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $123 · 10th to 90th $89 to $204Professionalmedian $170 · 10th to 90th $110 to $562
$100.0$200.0$500.0facility $123professional $170

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
$114.82
Median
$114.82
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$162.18
Typical High
$562.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$257.04
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$263.03
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$123.03
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$169.82
Typical High
$309.03

Where Vermont 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.

Vermont $170 · 15th 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.